Individual provider Active NPI

Andrew P Musetto, PH.D.

  • Psychologist
  • Haddonfield, NJ
National Provider Identifier
1902949894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00102900 Issued in NJ
Practice address
49 Grove St
C
Haddonfield, NJ 08033-1232
Phone
(856) 428-6640
Fax
(856) 428-9185
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00102900 NJ Primary

Addresses

Primary practice location

49 Grove St
C
Haddonfield, NJ 08033-1232

Mailing address

49 Grove St
C
Haddonfield, NJ 08033-1232
Phone (856) 428-6640

Other identifiers 2

IdentifierTypeStateIssuer
F 10506OtherNJFIRST OPTION
JO 18078OtherNJTRICARE CHAMPUS

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00102900NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902949894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GROVE ST",
            "address_2": "C",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331232",
            "telephone_number": "856-428-6640",
            "fax_number": "856-428-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GROVE ST",
            "address_2": "C",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331232",
            "telephone_number": "856-428-6640",
            "fax_number": "856-428-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSETTO",
        "first_name": "ANDREW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00102900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST OPTION",
            "identifier": "F 10506",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "JO 18078",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.