Individual provider Active NPI

Timothy Jon Foljahn, LP

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1629884374
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
001237 Issued in NY
Practice address
80 5TH Ave RM 1106
New York, NY 10011-8017
Phone
(201) 982-7584
NPI assigned
Dec 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 001237 NY Primary

Addresses

Primary practice location

80 5TH Ave RM 1106
New York, NY 10011-8017

Mailing address

53 4TH St Apt 2E
Hoboken, NJ 07030-4848
Phone (201) 892-1354

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

NPI Registry JSON

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1629884374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 4TH ST APT 2E",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304848",
            "telephone_number": "201-892-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE RM 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118017",
            "telephone_number": "201-982-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLJAHN",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "001237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.