Individual provider Active NPI

Cornelia Santschi, PH.D.

  • Clinical Neuropsychologist
  • Livingston, NJ
National Provider Identifier
1720185234
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
S103778 Issued in NJ
Practice address
200 S Orange Ave
Ste 101
Livingston, NJ 07039-5817
Phone
(973) 322-7580
Fax
(973) 322-7505
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X S103778 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Ste 101
Livingston, NJ 07039-5817

Mailing address

18 E 41St St
Ste 1206
New York, NY 10017-6222
Phone (212) 725-8511

Other identifiers 1

IdentifierTypeStateIssuer
8162506MedicaidNJ

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
I20050810000502 NJ Practitioner - Clinical Psychologist 2567491673 Practice locations: Livingston, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 322-7580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
S103778NJMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crosfield Medical Associates Past Accepting new patients
Hudson MD Group Past Accepting new patients
Institute of Neurology and Neurosurgery at Saint Barnabas Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2f26dc99-c358-4b2b-a63e-0bdfec0a9b98/

Organizations & group practices 3

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1720185234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 41ST ST",
            "address_2": "STE 1206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176222",
            "telephone_number": "212-725-8511",
            "fax_number": "212-726-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "STE 101",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7580",
            "fax_number": "973-322-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTSCHI",
        "first_name": "CORNELIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "S103778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8162506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.