Individual provider Active NPI

Anthony L. Giordano, PH.D.

  • Clinical Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1669543898
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00342800 Issued in NJ
Practice address
1050 Kings Hwy N
Suite 103
Cherry Hill, NJ 08034-1909
Phone
(856) 755-1313
Fax
(856) 755-1339
NPI assigned
Nov 10, 2006
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00342800 NJ Primary

Addresses

Primary practice location

1050 Kings Hwy N
Suite 103
Cherry Hill, NJ 08034-1909

Mailing address

811 Church Rd
Ste 160
Cherry Hill, NJ 08002-1454
Phone (856) 755-1313

Other identifiers 1

IdentifierTypeStateIssuer
7805501MedicaidNJ

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
I20040426001391 NJ Practitioner - Clinical Psychologist 0042207813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

811 Church Rd
Suite 160
Cherry Hill, NJ 08002-1412

811 Church Rd
Suite 160
Cherry Hill, NJ 08002-1454
Phone (856) 488-8080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony L Giordano,PH.D. LLC Clinical CurrentSince Jul 1, 1997 Accepting new patients

Locations

811 Church Rd
Ste 160
Cherry Hill, NJ 08002
Phone (856) 488-8080

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1669543898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CHURCH RD",
            "address_2": "STE 160",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021454",
            "telephone_number": "856-755-1313",
            "fax_number": "856-755-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KINGS HWY N",
            "address_2": "SUITE 103",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341909",
            "telephone_number": "856-755-1313",
            "fax_number": "856-755-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "ANTHONY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00342800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.