Active NPI
Roger David Zeeman
- Psychologist
- Fort Lee, NJ
National Provider Identifier
1538327705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00172100
- Practice address
- 1500 Palisade Ave
8B
Fort Lee, NJ 07024-5337 - Phone
- (201) 482-8685
- NPI assigned
- May 24, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00172100 | NJ | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 016817 | NY |
Addresses
Primary practice location
1500 Palisade Ave
8B
Fort Lee, NJ 07024-5337
Mailing address
1500 Palisade Avenue
8B
Fort Lee, NJ 07024-5313
Phone (201) 482-8685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016817 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1538327705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PALISADE AVENUE",
"address_2": "8B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245313",
"telephone_number": "201-482-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PALISADE AVE",
"address_2": "8B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245337",
"telephone_number": "201-482-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEEMAN",
"first_name": "ROGER",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-24",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00172100",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "016817",
"primary": false
}
],
"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 Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.