Individual provider Active NPI

Edward M. Merski, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Matawan, NJ
National Provider Identifier
1952455941
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSYD-2136 Issued in NJ
Practice address
2 Nawatam Way
Matawan, NJ 07747-3018
Phone
(732) 566-9222
Fax
(732) 566-9298
NPI assigned
Jan 23, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSYD-2136 NJ
Addiction (Substance Use Disorder) Psychologist 103TA0400X PSYD-2136 NJ
Cognitive & Behavioral Psychologist 103TB0200X PSYD-2136 NJ
Counseling Psychologist 103TC1900X PSYD-2136 NJ
Clinical Child & Adolescent Psychologist 103TC2200X PSYD-2136 NJ Primary

Addresses

Primary practice location

2 Nawatam Way
Matawan, NJ 07747-3018

Mailing address

2 Nawatam Way
Matawan, NJ 07747-3018
Phone (732) 566-9222

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PSYD-2136NJMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. John J Shannon, PA PastSince Nov 26, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1952455941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NAWATAM WAY",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473018",
            "telephone_number": "732-566-9222",
            "fax_number": "732-566-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NAWATAM WAY",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473018",
            "telephone_number": "732-566-9222",
            "fax_number": "732-566-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSKI",
        "first_name": "EDWARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "PSYD-2136",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "PSYD-2136",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "PSYD-2136",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "PSYD-2136",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "PSYD-2136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.