Meditelecare Of New Jersey LLC
Psychologist, Clinical in Ewing, New Jersey
1639750797- Practice location
- 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456
- Phone
- 860-788-6404
- Fax
- —
- Last updated
- May 5, 2025
Meditelecare Of New Jersey LLC is a healthcare organization based in Ewing, NJ. Meditelecare Of New Jersey LLC practices in Ewing, NJ. The NPI Number for Meditelecare Of New Jersey LLC is 1639750797. The current practice location address for Meditelecare Of New Jersey LLC is 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 and can be reached out via phone at 860-788-6404.
Provider Profile Details
- NPI Number
- 1639750797
- Provider Name
- Meditelecare Of New Jersey LLC
- Provider Entity Type
- Organization
- Address
- 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456
- Phone Number
- 860-788-6404
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Andrea Godfrey · Credentialing & Enrollment Manager · 860-398-6441
- Provider Enumeration Date
- April 19, 2021
- Last Update Date
- May 5, 2025
- Certification Date
- May 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Charles Ewing Blvd Ste 160
Ewing, NJ 08628-3456 - City
- Ewing
- State
- New Jersey
- Zip
- 08628-3456
- Phone Number
- 860-788-6404
Provider Business Mailing Address Details
- Address
- Po Box 1595
Middletown, CT 06457-8095 - City
- Middletown
- State
- CT
- Zip
- 06457-8095
- Phone Number
- 860-788-6404
- Fax Number
- 860-829-0495
License Information
- Taxonomy (1)
- Psychologist · 103T00000X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Taxonomy (4)
- Nurse Practitioner · 363L00000X
- Taxonomy (5)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Meditelecare Of New Jersey LLC?
The NPI number of Meditelecare Of New Jersey LLC is 1639750797. It was assigned on April 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Meditelecare Of New Jersey LLC?
Meditelecare Of New Jersey LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Meditelecare Of New Jersey LLC practice?
The practice location is 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456. The office can be reached at 860-788-6404 (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 1639750797 directly on the NPPES registry website.