Theodore F Jasper M.D. P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA0066352 Issued in NJ

Legal business name

THEODORE F JASPER M.D. P.C.

Practice address

1010 Clifton Ave
Clifton, NJ 07013

Phone

(973) 472-8550

Fax

(973) 472-8580

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Theodore F Jasper, M.D. P.C.

Title

Owner

Phone

(973) 472-8550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1811084700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-472-8550",
            "fax_number": "973-472-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-472-8550",
            "fax_number": "973-472-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE F JASPER M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-472-8550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D. P.C."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA0066352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.