Individual provider Active NPI

Gerald Tramontano, PHD

  • Clinical Neuropsychologist
  • Mount Arlington, NJ
National Provider Identifier
1962550228
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3338 Issued in NJ
Practice address
200 Valley Rd
Suite 301
Mt Arlington, NJ 07856-1320
Phone
(973) 601-0100
Fax
(973) 398-2211
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 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 3338 NJ Primary

Addresses

Primary practice location

200 Valley Rd
Suite 301
Mt Arlington, NJ 07856-1320

Mailing address

200 Valley Rd
Suite 301
Mt Arlington, NJ 07856-1320
Phone (973) 601-0100

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
I20050421000736 NJ Practitioner - Clinical Psychologist 7810983152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurocognitive Institute LLCGroup PAC ID 6204095185, 6 clinicians

Practice addresses (Care Compare)

111 Howard Blvd
Suite 205
Mount Arlington, NJ 07856-1315
Phone (973) 601-0100

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 601-0100

2345 Lamington Rd
Bedminster, NJ 07921-2612
Phone (973) 601-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3338NJMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurocognitive Institute LLC Clinical Neuropsychologist CurrentSince Jan 5, 2011 Accepting new patients
The Neurocognitive Institute LLC Current Accepting new patients
Neurorehab Institute LLC Clinical Neuropsychologist Past Accepting new patients

Locations

2345 Lamington Rd
Ste 110
Bedminster, NJ 07921
Phone (908) 234-2002

180 N Dean St
Englewood, NJ 07631
Phone (201) 568-4242

200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007

111 Howard Blvd
Ste 204
Mt Arlington, NJ 07856
Phone (973) 223-7079

111 Howard Blvd
Ste 205
Mt Arlington, NJ 07856
Phone (973) 600-0100

804 W Park Ave
Ocean, NJ 07712
Phone (732) 531-0010

Organizations & group practices 4

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1962550228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALLEY RD",
            "address_2": "SUITE 301",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561320",
            "telephone_number": "973-601-0100",
            "fax_number": "973-398-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALLEY RD",
            "address_2": "SUITE 301",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561320",
            "telephone_number": "973-601-0100",
            "fax_number": "973-398-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMONTANO",
        "first_name": "GERALD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "3338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Arlington, NJ

Sources for this page

Verify at the official NPI Registry.