Organization Active NPI

Jigsaw Diagnostics New Jersey PC

  • Cognitive & Behavioral Psychologist
  • Fort Lee, NJ
National Provider Identifier
1508724147
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
JIGSAW DIAGNOSTICS NEW JERSEY PC
Practice address
2422 6TH St Unit B
Fort Lee, NJ 07024-7803
Phone
(650) 260-8701
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Justin Ho
Title
Assistant Secretary and Treasurer
Phone
(571) 213-7572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

2422 6TH St Unit B
Fort Lee, NJ 07024-7803

Mailing address

2131 Ashton Ave
Menlo Park, CA 94025-6501
Phone (571) 213-7572

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1508724147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 ASHTON AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256501",
            "telephone_number": "571-213-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 6TH ST UNIT B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247803",
            "telephone_number": "650-260-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIGSAW DIAGNOSTICS NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY AND TREASURER",
        "authorized_official_telephone_number": "571-213-7572"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.