Individual provider Active NPI

George A. Peters, ED.D.

  • Psychologist
  • Toms River, NJ
National Provider Identifier
1497891402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100145300 Issued in NJ
Practice address
1747 Hooper Ave
Suite 16
Toms River, NJ 08753-8165
Phone
(732) 255-3030
Fax
(732) 255-5065
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100145300 NJ Primary

Addresses

Primary practice location

1747 Hooper Ave
Suite 16
Toms River, NJ 08753-8165

Mailing address

1747 Hooper Ave
Suite 16
Toms River, NJ 08753-8165
Phone (732) 255-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000697 NJ Practitioner - Clinical Psychologist 7012906332 Reassigns benefits to 1 organization
Practice locations: Forked River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychology and Counseling Associates, LLCGroup PAC ID 4880689298, 15 clinicians

Practice addresses (Care Compare)

1683 Route 88
Suite a
Brick, NJ 08724-3072
Phone (732) 840-5266

3820 River Rd
Point Pleasant, NJ 08742-2054
Phone (732) 840-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100145300NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC Psychologist CurrentSince Apr 1, 2022 Accepting new patients
Psychological & Behavioral HLTH Ctr George a Peters Psychologist PastSince Mar 8, 1990 Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497891402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 HOOPER AVE",
            "address_2": "SUITE 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538165",
            "telephone_number": "732-255-3030",
            "fax_number": "732-255-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 HOOPER AVE",
            "address_2": "SUITE 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538165",
            "telephone_number": "732-255-3030",
            "fax_number": "732-255-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "GEORGE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100145300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.