Meditelecare of New Jersey LLC
NPI 1639750797 · Clinical Psychologist · Ewing, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Meditelecare of New Jersey LLC is a Clinical Psychologist organization in Ewing, NJ (NPI 1639750797).
Provider details
- NPI number
- 1639750797
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Godfrey, Credentialing & Enrollment Manager(860) 398-6441
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Frequently asked questions
- What is Meditelecare of New Jersey LLC's NPI number?
- Meditelecare of New Jersey LLC's National Provider Identifier (NPI) is 1639750797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Meditelecare of New Jersey LLC?
- Meditelecare of New Jersey LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Meditelecare of New Jersey LLC located?
- Meditelecare of New Jersey LLC's practice location on file with NPPES is 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456.
- What is Meditelecare of New Jersey LLC's phone number?
- The practice phone number listed in the NPPES registry for Meditelecare of New Jersey LLC is (860) 788-6404.
- Does Meditelecare of New Jersey LLC accept Medicare?
- Meditelecare of New Jersey LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Meditelecare of New Jersey LLC?
- The authorized official listed on Meditelecare of New Jersey LLC's NPPES record is Andrea Godfrey, Credentialing & Enrollment Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Meditelecare of New Jersey LLC's NPI active?
- Yes — Meditelecare of New Jersey LLC's NPI (1639750797) is active in the NPPES registry as of the last update on 2025-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.