Dr Joseph P Pedoto LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100299100 Issued in NJ

Legal business name

DR JOSEPH P PEDOTO LLC

Practice address

605 Bloomfield Ave
Suite 7
Montclair, NJ 07042-2859

Phone

(973) 783-7772

NPI assigned

Feb 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Joseph P Pedoto, PHDNPI 1093868135

Title

Ceo

Phone

(973) 650-4796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Peter Pedoto, PH.D.

  • Counseling Psychologist
  • Montclair, NJ
  • NPI 1093868135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391817600000",
    "number": "1992129159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HOLLAND CIR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711928",
            "telephone_number": "973-650-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BLOOMFIELD AVE",
            "address_2": "SUITE 7",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422859",
            "telephone_number": "973-783-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSEPH P PEDOTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-08",
        "last_updated": "2014-02-08",
        "status": "A",
        "authorized_official_last_name": "PEDOTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-650-4796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100299100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosita D Dotson
• Elaine Douglas, MD
• Lauren B Dover, OTR/L
• Jacqueline Dowd, CCC-SLP
• Jeanine B. Downie, M. D.
• Dr Sade D Frazier
• Dr. Fara Azar, LLC
• Dr. Haley Rottenberg Psychology, P.C.
• Melissa Goodman Drappi, RN
• Drea'S Heart Doula Services

• Psychologist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.