Organization Active NPI

John M Charuk PHD PA

  • Clinical Psychologist
  • Trenton, NJ
National Provider Identifier
1548436819
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JOHN M CHARUK PHD PA
Practice address
2312 Whitehorse Mercerville Rd
Suite 101
Trenton, NJ 08619-1953
Phone
(609) 586-4591
Fax
(609) 588-8688
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. John M Charuk, PHD
Title
Owner
Phone
(609) 586-4591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

2312 Whitehorse Mercerville Rd
Suite 101
Trenton, NJ 08619-1953

Mailing address

2312 Whitehorse Mercerville Rd
Suite 101
Trenton, NJ 08619-1953
Phone (609) 586-4591

National Provider Directory

National Provider Directory

Locations

2312 Whitehorse Mercerville Rd
Ste 101
Trenton, NJ 08619
Phone (609) 586-4591

Practitioners & affiliated clinicians

Practitioners 2

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1548436819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 101",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191953",
            "telephone_number": "609-586-4591",
            "fax_number": "609-588-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 101",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191953",
            "telephone_number": "609-586-4591",
            "fax_number": "609-588-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M CHARUK PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "CHARUK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-586-4591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.