Active NPI
Marc David Geller, PSY.D.
- Psychologist
- Somerville, NJ
National Provider Identifier
1487986485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00182100
- Practice address
- 337 East Main Street
Somerville, NJ 08876-3109 - Phone
- (908) 725-9090
- Fax
- (908) 725-9112
- NPI assigned
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00182100 | NJ | Primary |
Addresses
Primary practice location
337 East Main Street
Somerville, NJ 08876-3109
Mailing address
337 East Main Street
Somerville, NJ 08876-3109
Phone (908) 725-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2012 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00182100 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1487986485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 EAST MAIN STREET",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088763109",
"telephone_number": "908-725-9090",
"fax_number": "908-725-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 EAST MAIN STREET",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088763109",
"telephone_number": "908-725-9090",
"fax_number": "908-725-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "MARC",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00182100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.