Individual provider Active NPI

Alan S Kagel, EDD

  • Clinical Psychologist
  • Thorofare, NJ
National Provider Identifier
1700908332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2276 Issued in NJ
Practice address
800 Jessup Rd
Suite 808
Thorofare, NJ 08086-9354
Phone
(856) 845-7800
Fax
(856) 845-3861
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2276 NJ Primary
Clinical Psychologist 103TC0700X PS004811L PA

Addresses

Primary practice location

800 Jessup Rd
Suite 808
Thorofare, NJ 08086-9354

Mailing address

800 Jessup Rd
Suite 808
Thorofare, NJ 08086-9354
Phone (856) 845-7800

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
I20121102000167 NJ Practitioner - Clinical Psychologist 7315195906 Reassigns benefits to 1 organization
Practice locations: Thorofare, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care Psychology of NJ PCGroup PAC ID 6002162252, 23 clinicians

Practice addresses (Care Compare)

303 Elm St
Perth Amboy, NJ 08861-4015
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
96.24 of 100Reported as group
Quality
81.01
Improvement activities
40
Cost
88.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS004811LPAMDClinical Psychologist
2276NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of NJ PC Clinical CurrentSince Jun 11, 2018 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540

1314 Brunswick Ave
Trenton, NJ 08638
Phone (609) 656-9291

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700908332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JESSUP RD",
            "address_2": "SUITE 808",
            "city": "THOROFARE",
            "state": "NJ",
            "postal_code": "080869354",
            "telephone_number": "856-845-7800",
            "fax_number": "856-845-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JESSUP RD",
            "address_2": "SUITE 808",
            "city": "THOROFARE",
            "state": "NJ",
            "postal_code": "080869354",
            "telephone_number": "856-845-7800",
            "fax_number": "856-845-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGEL",
        "first_name": "ALAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "2276",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004811L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorofare, NJ

Sources for this page

Verify at the official NPI Registry.