Active NPIIndividual providerSole proprietor

Philip Bomzer, PSYD

Psychologist, Clinical in Fair Lawn, New Jersey

NPI Number1932337581
Practice location
5-02 Bryant Pl, Fair Lawn, NJ 07410-2175
Fax
—
Last updated
October 26, 2020

Philip Bomzer is a Psychologist, Clinical based in Fair Lawn, NJ. Philip Bomzer practices in Fair Lawn, NJ and has the professional credentials of PSYD. The NPI Number for Philip Bomzer is 1932337581 and holds a License No. 020582 (NY). The current practice location address for Philip Bomzer is 5-02 Bryant Pl, Fair Lawn, NJ 07410-2175 and can be reached out via phone at 917-374-3074.

Provider Profile Details

NPI Number
1932337581
Provider Name
Philip Bomzer
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
5-02 Bryant Pl, Fair Lawn, NJ 07410-2175
Phone Number
917-374-3074
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2009
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
917-374-3074
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

License Information

License Number (1)
020582
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
020582
License State (2)
NY
License Number (3)
35SI00543800
License State (3)
NJ
Taxonomy (3)
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 Philip Bomzer, PSYD?

The NPI number of Philip Bomzer, PSYD is 1932337581. It was assigned on June 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Philip Bomzer, PSYD?

Philip Bomzer, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 020582.

Where does Philip Bomzer, PSYD practice?

The practice location is 5-02 Bryant Pl, Fair Lawn, NJ 07410-2175. The office can be reached at 917-374-3074 (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 1932337581 directly on the NPPES registry website.

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