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Meditelecare of New Jersey LLC

Clinical Psychologist in Ewing, NJ · enumerated 2021 · authorized official Andrea Godfrey, Credentialing & Enrollment Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639750797

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Registry record

Entity type Organization (Type 2)
Legal business name Meditelecare of New Jersey LLC
Practice address 100 Charles Ewing Blvd Ste 160, Ewing, NJ, 08628
Enumeration date Apr 19, 2021
Last updated in NPPES May 5, 2025

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Andrea Godfrey
Title Credentialing & Enrollment Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-05. Verify at npiregistry.cms.hhs.gov.
Where is Meditelecare of New Jersey LLC located?
The practice location on file with NPPES is in Ewing, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-05.