Individual provider Active NPI

Jennifer L Tedesco, PSYD

  • Clinical Psychologist
  • Byram Township, NJ
National Provider Identifier
1992730022
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00535900 Issued in NJ
Practice address
2 Cub Lake Rd
Byram Township, NJ 07821-4050
Phone
(267) 254-2111
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00535900 NJ Primary
Psychologist 103T00000X B1-0000944 DE

Addresses

Primary practice location

2 Cub Lake Rd
Byram Township, NJ 07821-4050

Mailing address

2 Cub Lake Rd
Byram Township, NJ 07821-4050
Phone (267) 254-2111

Other names 1

  • Dr. Jennifer L Tedesco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180705000565 DE Practitioner - Clinical Psychologist 6507766474 Reassigns benefits to 1 organization
I20240115000069 NJ Practitioner - Clinical Psychologist 6507766474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Cub Lake Rd
Byram Township, NJ 07821-4050
Phone (267) 254-2111

2607 N Harrison St
Wilmington, DE 19802-2922
Phone (267) 254-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00535900NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Delaware Center for Mindfulness, LLC CurrentSince Oct 15, 2021 Accepting new patients
Dr. Robin Lowey & Associates LLC Psychologist PastSince Jun 29, 2010 Accepting new patients
Dr. Robin Lowey & Associates Psychological Services Clinical PastSince Jun 10, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1992730022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CUB LAKE RD",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078214050",
            "telephone_number": "267-254-2111",
            "fax_number": "906-661-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CUB LAKE RD",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078214050",
            "telephone_number": "267-254-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00535900",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0000944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TEDESCO",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byram Township, NJ

Sources for this page

Verify at the official NPI Registry.