Individual provider Active NPI

Thomas J. Dinzeo, PH.D.

  • Psychologist
  • Glassboro, NJ
National Provider Identifier
1710385265
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00534700 Issued in NJ
Practice address
201 Mullica Hill Rd
Glassboro, NJ 08028-1700
Phone
(856) 256-4500
Fax
(856) 256-4892
NPI assigned
Dec 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00534700 NJ Primary

Addresses

Primary practice location

201 Mullica Hill Rd
Glassboro, NJ 08028-1700

Mailing address

216 Alfred Ave
Glassboro, NJ 08028-2004
Phone (856) 256-4500

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
35SI00534700NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1710385265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ALFRED AVE",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282004",
            "telephone_number": "856-256-4500",
            "fax_number": "856-256-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-256-4500",
            "fax_number": "856-256-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINZEO",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00534700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.