Individual provider Active NPI

Paula Marie Pesci Rodriguez

  • Psychiatry Physician
  • New Providence, NJ
National Provider Identifier
1598786337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA04765200 Issued in NJ
Practice address
139 South St
Suite 201
New Providence, NJ 07974-1999
Phone
(973) 615-9217
Fax
(973) 292-3293
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA04765200 NJ Primary

Addresses

Primary practice location

139 South St
Suite 201
New Providence, NJ 07974-1999

Mailing address

1 Glimpsewood LN
Morristown, NJ 07960-3767
Phone (973) 539-0885

Other names 1

  • Paula Marie Pesci Professional name

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Paula M. Pesci, M.D., LLC PastSince Jul 13, 2006 Accepting new patients
Advent Christian Health Associates Psychiatry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598786337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLIMPSEWOOD LN",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603767",
            "telephone_number": "973-539-0885",
            "fax_number": "973-292-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SOUTH ST",
            "address_2": "SUITE 201",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741999",
            "telephone_number": "973-615-9217",
            "fax_number": "973-292-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCI RODRIGUEZ",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04765200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "PESCI",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.