Active NPIIndividual providerSole proprietor

Dr. Jordan L Pauker, PSYD

Psychologist, Clinical in Freehold, New Jersey

NPI Number1720094683
Practice location
75 W Main St, Freehold, NJ 07728-2114
Fax
732-409-3634
Last updated
July 8, 2007

Jordan L. Pauker is a Psychologist, Clinical based in Freehold, NJ. Jordan L. Pauker practices in Freehold, NJ and has the professional credentials of PSYD. The NPI Number for Jordan L. Pauker is 1720094683 and holds a License No. 1695 (NJ). The current practice location address for Jordan L. Pauker is 75 W Main St, Freehold, NJ 07728-2114 and can be reached out via phone at 732-431-2171 and via fax at 732-409-3634.

Provider Profile Details

NPI Number
1720094683
Provider Name
Jordan L. Pauker
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
75 W Main St, Freehold, NJ 07728-2114
Phone Number
732-431-2171
Fax Number
732-409-3634
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 W Main St
Freehold, NJ 07728-2114
Zip
07728-2114
Phone Number
732-431-2171
Fax Number
732-409-3634
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
253 Shinnecock Dr
Manalapan, NJ 07726-9524
City
Manalapan
State
NJ
Zip
07726-9524
Phone Number
732-431-2171
Fax Number
732-409-3634

License Information

License Number
1695
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. Jordan L Pauker, PSYD?

The NPI number of Dr. Jordan L Pauker, PSYD is 1720094683. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jordan L Pauker, PSYD?

Dr. Jordan L Pauker, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 1695.

Where does Dr. Jordan L Pauker, PSYD practice?

The practice location is 75 W Main St, Freehold, NJ 07728-2114. The office can be reached at 732-431-2171 (phone) or 732-409-3634 (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 1720094683 directly on the NPPES registry website.

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