Active NPIIndividual provider

Dr. David S Gomberg, PHD

Psychologist in Maplewood, New Jersey

NPI Number1740372515
Practice location
169 Maplewood Avenue, Maplewood, NJ 07040
Fax
973-763-5604
Last updated
July 8, 2007

David Stuart Gomberg is a Psychologist based in Maplewood, NJ. David Stuart Gomberg practices in Maplewood, NJ and has the professional credentials of PHD. The NPI Number for David Stuart Gomberg is 1740372515 and holds a License No. 3703 (NJ). The current practice location address for David Stuart Gomberg is 169 Maplewood Avenue, Maplewood, NJ 07040 and can be reached out via phone at 973-313-9289 and via fax at 973-763-5604.

Provider Profile Details

NPI Number
1740372515
Provider Name
David Stuart Gomberg
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
169 Maplewood Avenue, Maplewood, NJ 07040
Phone Number
973-313-9289
Fax Number
973-763-5604
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
169 Maplewood Avenue
Maplewood, NJ 07040
Zip
07040
Phone Number
973-313-9289
Fax Number
973-763-5604
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
169 Maplewood Avenue
Maplewood, NJ 07040
City
Maplewood
State
NJ
Zip
07040
Phone Number
973-313-9289
Fax Number
973-763-5604

License Information

License Number (1)
3703
License State (1)
NJ
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
0130661
License State (2)
NY
Taxonomy (2)
Psychologist · 103T00000X

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. David S Gomberg, PHD?

The NPI number of Dr. David S Gomberg, PHD is 1740372515. It was assigned on September 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. David S Gomberg, PHD?

Dr. David S Gomberg, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 3703.

Where does Dr. David S Gomberg, PHD practice?

The practice location is 169 Maplewood Avenue, Maplewood, NJ 07040. The office can be reached at 973-313-9289 (phone) or 973-763-5604 (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 1740372515 directly on the NPPES registry website.

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