Active NPI
Marvin Barry Chartoff, ED.D
- Psychologist
- Sparta, NJ
National Provider Identifier
1962440420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00104400
- Practice address
- 21 Main St
Sparta, NJ 07871-1916 - Phone
- (973) 729-5535
- Fax
- (973) 726-9706
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 35SI00104400 | NJ | |
| Clinical Psychologist | 103TC0700X | 35SI00104400 | NJ | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 35SI00104400 | NJ | |
| Psychologist | 103T00000X | 35SI00104400 | NJ | Primary |
Addresses
Primary practice location
21 Main St
Sparta, NJ 07871-1916
Mailing address
11S Shore TRL
Sparta, NJ 07871-1610
Phone (862) 432-2971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0318108 | Medicaid | NJ | |
| 222664938 | Other | TAX ID |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050525000169 | NJ | Practitioner - Clinical Psychologist | 3375585854 | Practice locations: Long Valley, NJ; Parsippany, NJ; Sparta, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11 S Shore Trail
Sparta, NJ 07871-1610
11 S Shore TRL
Sparta, NJ 07871-1610
1279 US Hwy 46
Parsippany, NJ 07054-4904
Phone (973) 402-2575
21 Main St
Sparta, NJ 07871-1916
Phone (973) 729-5535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00104400 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Psychotherapists | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1962440420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11S SHORE TRL",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711610",
"telephone_number": "862-432-2971",
"fax_number": "973-726-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MAIN ST",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711916",
"telephone_number": "973-729-5535",
"fax_number": "973-726-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARTOFF",
"first_name": "MARVIN",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NJ",
"license": "35SI00104400",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00104400",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NJ",
"license": "35SI00104400",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00104400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318108",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "222664938",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.