Individual provider Active NPI

Ange Puig, PH.D

  • Clinical Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1659478741
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100180800 Issued in NJ
Practice address
1060 Kings Hwy N Ste 311
Cherry Hill, NJ 08034-1910
Phone
(856) 482-7744
Fax
(856) 779-2705
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 35S100180800 NJ
Counseling Psychologist 103TC1900X 35S100180800 NJ
Clinical Psychologist 103TC0700X 35S100180800 NJ Primary

Addresses

Primary practice location

1060 Kings Hwy N Ste 311
Cherry Hill, NJ 08034-1910

Mailing address

1060 Kings Hwy N Ste 311
Cherry Hill, NJ 08034-1910
Phone (856) 482-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502001269 NJ Practitioner - Clinical Psychologist 8527007210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1060 Kings Hwy N
Suite 311
Cherry Hill, NJ 08034-1910
Phone (856) 482-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Puig Associates, P.a. Clinical CurrentSince Oct 10, 1995 Accepting new patients
Denario Psychological Services, LLC PastSince Apr 17, 2020 Accepting new patients

Locations

1060 Kings Hwy N
Ste 311
Cherry Hill, NJ 08034
Phone (856) 482-7744

900 Kings Hwy N
Ste 201
Cherry Hill, NJ 08034
Phone (856) 482-7744

1060 Kings Hwy N
Ste 314
Cherry Hill, NJ 08034
Phone (856) 285-5861

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1659478741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 KINGS HWY N STE 311",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341910",
            "telephone_number": "856-482-7744",
            "fax_number": "856-779-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 KINGS HWY N STE 311",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341910",
            "telephone_number": "856-482-7744",
            "fax_number": "856-779-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "ANGE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "35S100180800",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35S100180800",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100180800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.