Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meditelecare of New Jersey LLC

Organization Psychologist · NPI 1639750797

Meditelecare of New Jersey LLC is a Psychologist in Ewing, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Charles Ewing Blvd Ste 160
Ewing, NJ 08628-3456
Phone: (860) 788-6404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Psychologist Taxonomy 103T00000X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1639750797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Godfrey — Credentialing & Enrollment Manager · (860) 398-6441
NPI enumeratedApril 19, 2021
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing addressPo Box 1595, Middletown, CT 06457-8095

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