Jay Herman Joerger, EDD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

9531NY Issued in NY

Practice address

45 Dolson Ave Ste 3
Middletown, NY 10940-6462

Phone

(570) 828-6444

Fax

(845) 344-0392

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1508831512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JOERGERS LANE",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "18328",
            "telephone_number": "570-828-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DOLSON AVE STE 3",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406462",
            "telephone_number": "570-828-6444",
            "fax_number": "845-344-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOERGER",
        "first_name": "JAY",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "9531NY",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "9154PA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adhara Jimenez, BS/AS
• Dylan Steven Jimenez
• JNK NP in Psychiatry PC
• Carly M. Jobson, PA-C
• Manju Joe, NP
• Robert Johaneman
• John P Handago Physician PC
• John T Sloma, LCSW, PC
• Asyah Johnson
• Christopher Johnson, FNP

• Counseling Psychologist in Middletown, NY
• Providers in Middletown, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.