Active NPIIndividual providerSole proprietor

Ida Jeltova, PHD

Psychologist, School in Ridgewood, New Jersey

NPI Number1922298421
Practice location
88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
Fax
201-757-0600
Last updated
October 30, 2021

Ida Jeltova is a Psychologist, School based in Ridgewood, NJ. Ida Jeltova practices in Ridgewood, NJ and has the professional credentials of PHD. The NPI Number for Ida Jeltova is 1922298421 and holds a License No. 017255 (NY). The current practice location address for Ida Jeltova is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 and can be reached out via phone at 201-757-0600 and via fax at 201-757-0600.

Provider Profile Details

NPI Number
1922298421
Provider Name
Ida Jeltova
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
Phone Number
201-757-0600
Fax Number
201-757-0600
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Other Names
Ida Makarovsky, PHD (Other Name)
Provider Enumeration Date
July 31, 2007
Last Update Date
October 30, 2021
Certification Date
October 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 W Ridgewood Ave
Ridgewood, NJ 07450-3199
Zip
07450-3199
Phone Number
201-757-0600
Fax Number
201-757-0600
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
88 W Ridgewood Ave
Ridgewood, NJ 07450-3199
City
Ridgewood
State
NJ
Zip
07450-3199
Phone Number
201-757-0600
Fax Number
201-236-6310

License Information

License Number (1)
017255
License State (1)
NY
Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (2)
035SI00527700
License State (2)
NJ
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
017255
License State (3)
NY
Taxonomy (3)
Psychologist, School · 103TS0200X · Primary

Legacy Identifiers

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

Other Psychologist, School providers near Ridgewood, NJ

View all Psychologist, School providers in Ridgewood →

Frequently Asked Questions

What is the NPI number of Ida Jeltova, PHD?

The NPI number of Ida Jeltova, PHD is 1922298421. It was assigned on July 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Ida Jeltova, PHD?

Ida Jeltova, PHD is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in NY under license number 017255.

Where does Ida Jeltova, PHD practice?

The practice location is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199. The office can be reached at 201-757-0600 (phone) or 201-757-0600 (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 1922298421 directly on the NPPES registry website.

Browse related providers