Individual provider Active NPI

Matthew Ryan D'Urso, PH.D.

  • Psychologist
  • Morristown, NJ
National Provider Identifier
1700186210
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00504800 Issued in NJ
Practice address
13 James St
Third Floor
Morristown, NJ 07960-5941
Phone
(973) 224-5983
Fax
(973) 829-6804
NPI assigned
Oct 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00504800 NJ Primary
Psychologist 103T00000X 019547-1 NY

Addresses

Primary practice location

13 James St
Third Floor
Morristown, NJ 07960-5941

Mailing address

13 James St
3Rd Floor
Morristown, NJ 07960-5941
Phone (973) 224-5983

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00504800NJMDPsychologist
019547-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1700186210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 JAMES ST",
            "address_2": "3RD FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605941",
            "telephone_number": "973-224-5983",
            "fax_number": "973-655-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 JAMES ST",
            "address_2": "THIRD FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605941",
            "telephone_number": "973-224-5983",
            "fax_number": "973-829-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'URSO",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-30",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00504800",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019547-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.