Organization Active NPI

Neuropsychological and Psychodiagnostic Assessment Center of NJ

  • Community/Behavioral Health Agency
  • East Hanover, NJ
National Provider Identifier
1699261313
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
35S100433000 Issued in NJ
Legal business name
NEUROPSYCHOLOGICAL AND PSYCHODIAGNOSTIC ASSESSMENT CENTER OF NJ
Practice address
120 Eagle Rock Ave Ste 148
East Hanover, NJ 07936-3168
Phone
(862) 591-9819
Fax
(973) 251-9007
NPI assigned
Jul 5, 2018
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Dr. Joyce Ann Echo, PH.D.NPI 1447248422
Title
Director
Phone
(862) 591-9819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 35S100433000 NJ Primary

Addresses

Primary practice location

120 Eagle Rock Ave Ste 148
East Hanover, NJ 07936-3168

Mailing address

23 Woodcrest Dr
Livingston, NJ 07039-3849
Phone (973) 454-5070

Other practice location 1

23 Woodcrest Dr
Livingston, NJ 07039-3849
Phone (973) 454-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181004000020 NJ Part B Supplier - Clinic/Group Practice 6002168929 Receives reassigned benefits from 1 practitioner
Practice locations: East Hanover, NJ

National Provider Directory

National Provider Directory

Locations

120 Eagle Rock Ave
Ste 148
East Hanover, NJ 07936
Phone (862) 591-9819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1699261313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WOODCREST DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393849",
            "telephone_number": "973-454-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 148",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363168",
            "telephone_number": "862-591-9819",
            "fax_number": "973-251-9007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Woodcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070393849",
            "country_code": "US",
            "telephone_number": "973-454-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL AND PSYCHODIAGNOSTIC ASSESSMENT CENTER OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "ECHO",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "862-591-9819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "35S100433000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.