Active NPIIndividual providerSole proprietor

Yedida Bomzer, PSYD

Psychologist, Clinical in Fair Lawn, New Jersey

NPI Number1508333964
Practice location
5-02 Bryant Pl, Fair Lawn, NJ 07410-2175
Fax
—
Last updated
October 26, 2020

Yedida Bomzer is a Psychologist, Clinical based in Fair Lawn, NJ. Yedida Bomzer practices in Fair Lawn, NJ and has the professional credentials of PSYD. The NPI Number for Yedida Bomzer is 1508333964 and holds a License No. 35SI00572300 (NJ). The current practice location address for Yedida Bomzer is 5-02 Bryant Pl, Fair Lawn, NJ 07410-2175 and can be reached out via phone at 732-668-3392.

Provider Profile Details

NPI Number
1508333964
Provider Name
Yedida Bomzer
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
5-02 Bryant Pl, Fair Lawn, NJ 07410-2175
Phone Number
732-668-3392
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2018
Last Update Date
October 26, 2020
Certification Date
October 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
5-02 Bryant Pl
Fair Lawn, NJ 07410-2175
Zip
07410-2175
Phone Number
732-668-3392
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
5-02 Bryant Pl
Fair Lawn, NJ 07410-2175
City
Fair Lawn
State
NJ
Zip
07410-2175
Phone Number
732-668-3392

License Information

License Number
35SI00572300
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 Yedida Bomzer, PSYD?

The NPI number of Yedida Bomzer, PSYD is 1508333964. It was assigned on October 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Yedida Bomzer, PSYD?

Yedida Bomzer, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00572300.

Where does Yedida Bomzer, PSYD practice?

The practice location is 5-02 Bryant Pl, Fair Lawn, NJ 07410-2175. The office can be reached at 732-668-3392 (phone).

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 1508333964 directly on the NPPES registry website.

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