Active NPI
Leah Dembitzer, PSYD
- Psychologist
- Lakewood, NJ
National Provider Identifier
1962991190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100590700
- Practice address
- 279 Van Buren Ave N
Lakewood, NJ 08701-2357 - Phone
- (732) 806-1641
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100590700 | NJ | Primary |
Addresses
Primary practice location
279 Van Buren Ave N
Lakewood, NJ 08701-2357
Mailing address
75 Forest Dr
Lakewood, NJ 08701-2315
Phone (732) 806-1641
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100590700 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1962991190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FOREST DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012315",
"telephone_number": "732-806-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 VAN BUREN AVE N",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012357",
"telephone_number": "732-806-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMBITZER",
"first_name": "LEAH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100590700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.