Active NPI
Brendan Doherty
- Social Worker
- Princeton, NJ
National Provider Identifier
1538560982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05980400
- Practice address
- 819 Alexander Rd
Princeton, NJ 08540-6303 - Phone
- (609) 452-2088
- NPI assigned
- Sep 4, 2014
- Last updated
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05980400 | NJ | Primary |
Addresses
Primary practice location
819 Alexander Rd
Princeton, NJ 08540-6303
Mailing address
9 Rainbow Hill Rd
Flemington, NJ 08822-3905
Phone (718) 208-6912
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05980400 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1538560982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 RAINBOW HILL RD",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088223905",
"telephone_number": "718-208-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 ALEXANDER RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406303",
"telephone_number": "609-452-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05980400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.