Active NPI
Jeffrey A. Berger, PH.D.
- Psychologist
- Metuchen, NJ
National Provider Identifier
1588677207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00110500
- Practice address
- 296 Amboy Ave
Metuchen, NJ 08840-2471 - Phone
- (732) 548-2422
- Fax
- (732) 548-0568
- NPI assigned
- Aug 14, 2006
- Last updated
- Aug 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00110500 | NJ | Primary |
Addresses
Primary practice location
296 Amboy Ave
Metuchen, NJ 08840-2471
Mailing address
296 Amboy Ave.
Metuchen, NJ 08840-2471
Phone (732) 548-2422
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 |
|---|---|---|---|
| 35SI00110500 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Perth Cardiology Group PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Metuchen, NJ
- NPI 1114066206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1588677207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 AMBOY AVE.",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402471",
"telephone_number": "732-548-2422",
"fax_number": "732-548-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402471",
"telephone_number": "732-548-2422",
"fax_number": "732-548-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "JEFFREY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00110500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metuchen, NJ
- Elizabeth Lanes Battinelli, PHD
- Stephanie Belbey
- Barbara F Belsh
- Aazi Bembry
- Abby Edith Bennett, M.ED., BCBA
- Nancy Abrams Bernheimer, PSYD
- John N Beskal, PT, DPT
- Timothy Alvin Bialecki, D.C.
- Bingru Xie Digestive Diseases Associates Medical PC (New Jersey Digestive Disease Associates)
- Kristin Biri, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.