Active NPIIndividual providerSole proprietor

Dr. John R Corbisiero, PHD

Psychologist, Clinical in Ridgewood, New Jersey

NPI Number1275576308
Practice location
179 S Maple Ave, Ridgewood, NJ 07450-4541
Fax
201-445-9073
Last updated
April 15, 2014

John Robert Corbisiero is a Psychologist, Clinical based in Ridgewood, NJ. John Robert Corbisiero practices in Ridgewood, NJ and has the professional credentials of PHD. The NPI Number for John Robert Corbisiero is 1275576308 and holds a License No. 2586 (NJ). The current practice location address for John Robert Corbisiero is 179 S Maple Ave, Ridgewood, NJ 07450-4541 and can be reached out via phone at 201-445-0662 and via fax at 201-445-9073.

Provider Profile Details

NPI Number
1275576308
Provider Name
John Robert Corbisiero
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
179 S Maple Ave, Ridgewood, NJ 07450-4541
Phone Number
201-445-0662
Fax Number
201-445-9073
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2006
Last Update Date
April 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 S Maple Ave
Ridgewood, NJ 07450-4541
Zip
07450-4541
Phone Number
201-445-0662
Fax Number
201-445-9073
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
179 S Maple Ave
Ridgewood, NJ 07450-4541
City
Ridgewood
State
NJ
Zip
07450-4541
Phone Number
201-445-0662
Fax Number
201-445-9073

License Information

License Number
2586
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John R Corbisiero, PHD?

The NPI number of Dr. John R Corbisiero, PHD is 1275576308. It was assigned on June 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John R Corbisiero, PHD?

Dr. John R Corbisiero, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 2586.

Where does Dr. John R Corbisiero, PHD practice?

The practice location is 179 S Maple Ave, Ridgewood, NJ 07450-4541. The office can be reached at 201-445-0662 (phone) or 201-445-9073 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275576308 directly on the NPPES registry website.

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