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MEDITELECARE OF NEW JERSEY LLC
NPI 1639750797
Psychologist - Clinical in Ewing, NJ

Active since April 19, 2021
100 CHARLES EWING BLVD STE 160, EWING, NJ 08628(860) 788-6404 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Apr 19, 2021 (3 updates tracked since 2021).

About Meditelecare Of New Jersey Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDITELECARE OF NEW JERSEY LLC (NPI 1639750797) is a healthcare organization registered as a clinical in Ewing, New Jersey and active in the NPI registry since April 2021. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1639750797
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMEDITELECARE OF NEW JERSEY LLC
Location Address100 CHARLES EWING BLVD STE 160Ewing, NJ 08628-3456
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495
Phone(860) 788-6404
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateApril 19, 2021
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1639750797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse PractitionerTaxonomy 363L00000X
100 CHARLES EWING BLVD STE 160, Ewing, NJ 08628
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TELEHEALTH PHYSICIAN NETWORK, PC
Counselor (Professional)
100 CHARLES EWING BLVD STE 160
EWING, NJ 08628
Mercer County (833) 484-6359
JENNIFER KEHOE
Psychologist (Clinical)
100 CHARLES EWING BLVD STE 160
EWING, NJ 08628
Mercer County (800) 370-3651
RUBY MEDICAL PRACTICE
Specialist
100 CHARLES EWING BLVD STE 160
EWING, NJ 08628
Mercer County (307) 840-9834
SUZANNE DANIELLE
Social Worker (Clinical)
100 CHARLES EWING BLVD STE 160
EWING, NJ 08628
Mercer County (800) 370-3651
ZP MEDICAL SERVICES OF NJ PC
Physical Medicine & Rehabilitation
100 CHARLES EWING BLVD STE 160
EWING, NJ 08628
Mercer County (877) 438-9335
AVELA HEALTH SERVICES LLC
Clinic/Center (Multi-Specialty)
100 CHARLES EWING BLVD STE 160
TRENTON, NJ 08628
Mercer County (855) 328-5931
IVEE MEDICAL PC
Family Medicine
100 CHARLES EWING BLVD STE 160
EWING, NJ 08628
Mercer County (212) 878-7685
NERLANDE CHARLES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 CHARLES EWING BLVD STE 160
EWING, NJ 08628
Mercer County (800) 370-3651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meditelecare Of New Jersey LLC's NPI number?

The NPI number for Meditelecare Of New Jersey LLC is 1639750797. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Meditelecare Of New Jersey LLC located?

Meditelecare Of New Jersey LLC is located at 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628. The listed phone number is (860) 788-6404.

What is Meditelecare Of New Jersey LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Meditelecare Of New Jersey LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Meditelecare Of New Jersey LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meditelecare Of New Jersey LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.