Peter Q. Harris, MD, PHD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA58629 Issued in NJ

Legal business name

PETER Q. HARRIS, MD, PHD, LLC

Practice address

3301 Route 66
Building B, Suite 106
Neptune, NJ 07753-2705

Phone

(732) 455-3870

Fax

(732) 455-3872

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Donna M. Bennington

Title

Office Manager

Phone

(732) 455-3870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1972743763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 ROUTE 66",
            "address_2": "BUILDING B, SUITE 106",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532705",
            "telephone_number": "732-455-3870",
            "fax_number": "732-455-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ROUTE 66",
            "address_2": "BUILDING B, SUITE 106",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532705",
            "telephone_number": "732-455-3870",
            "fax_number": "732-455-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER Q. HARRIS, MD, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "BENNINGTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-455-3870"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA58629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Petrongolo, PSYD, MSW
• Robin Kay Pflieger, PT, DPT
• Gerald Edward Pflum, M.D.

• Psychiatry Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.