Individual provider Active NPI

Elizabeth Nissim, PHD

  • Psychologist
  • Livingston, NJ
National Provider Identifier
1700362464
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100427300 Issued in NJ
Practice address
513 W Mount Pleasant Ave Ste 212&322
Livingston, NJ 07039-1710
Phone
(973) 309-3262
Fax
(973) 200-2580
NPI assigned
Jul 16, 2018
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100427300 NJ Primary

Addresses

Primary practice location

513 W Mount Pleasant Ave Ste 212&322
Livingston, NJ 07039-1710

Mailing address

12 Iron Forge Rd
Parsippany, NJ 07054-4308
Phone (973) 953-9123

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
35S100427300NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Educational Consulting Current Accepting new patients

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1700362464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 IRON FORGE RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544308",
            "telephone_number": "973-953-9123",
            "fax_number": "973-200-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W MOUNT PLEASANT AVE STE 212&322",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391710",
            "telephone_number": "973-309-3262",
            "fax_number": "973-200-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSIM",
        "first_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100427300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.