Active NPI
Irwin Lawrence Kutash, PHD
- Clinical Psychologist
- Livingston, NJ
National Provider Identifier
1619158672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 983
- Practice address
- 340 East Northfield Rd
Suite 1E
Livingston, NJ 07039 - Phone
- (201) 738-4483
- NPI assigned
- Nov 19, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 983 | NJ | Primary |
Addresses
Primary practice location
340 East Northfield Rd
Suite 1E
Livingston, NJ 07039
Mailing address
340 East Northfield Rd
Suite 1E
Livingston, NJ 07039
Phone (201) 738-4483
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 |
|---|---|---|---|
| 983 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1619158672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 EAST NORTHFIELD RD",
"address_2": "SUITE 1E",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "201-738-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 EAST NORTHFIELD RD",
"address_2": "SUITE 1E",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "201-738-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTASH",
"first_name": "IRWIN",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.