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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: October 18, 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meditelecare Of New Jersey Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Meditelecare Of New Jersey LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner15
Clinical Social Worker6
Clinical Psychologist4
Psychiatry2

Nearest to this location (20)

See all 27
Rachene Alexander, RN
Nurse Practitioner
NPI 1760068159
100 CHARLES EWING BLVD STE 160
Ewing, NJ 08628
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Mary Larsen, EDD
Clinical Psychologist
NPI 1710065016
100 CHARLES EWING BLVD
Ewing, NJ 08628
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Asia Morrison, NP
Nurse Practitioner
NPI 1760088058
100 CHARLES EWING BLVD
Ewing, NJ 08628
(877) 742-6992
✔ PECOS✔ Accepts MedicareSame address
Victoria Munoz, RN,MSN,ANP,FNPC
Nurse Practitioner
NPI 1710007810
100 CHARLES EWING BLVD
Ewing, NJ 08628
(551) 556-4274
✔ PECOSSame address
Kelly Rice, MSW, LCSW
Clinical Social Worker
NPI 1588336234
100 CHARLES EWING BLVD
Ewing, NJ 08628
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Norrel Sainsott, LCSW
Clinical Social Worker
NPI 1750939575
100 CHARLES EWING BLVD
Ewing, NJ 08628
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Denise Huebler, PMHNP
Nurse Practitioner
NPI 1699490771
252 LONGWOOD DR
Manalapan, NJ 07726
(718) 210-7702
✔ PECOS✔ Accepts Medicare25 mi
Vladislav Zelondzhev, D.O.
Psychiatry
NPI 1639307945
2250 CHAPEL AVE W SUITE 100
Cherry Hill, NJ 08002
(856) 482-9000
✔ PECOS✔ Accepts Medicare25 mi
Vincent Basile, PH.D.
Clinical Psychologist
NPI 1477953883
12 KENSINGTON PASS
Colts Neck, NJ 07722
(732) 522-9210
✔ PECOS✔ Accepts Medicare31 mi
Abelardo Lobo, APN
Nurse Practitioner
NPI 1972070811
131 MORRISTOWN RD
Basking Ridge, NJ 07920
(609) 412-9973
✔ PECOS✔ Accepts Medicare35 mi
Rose Montgomery, MSW, LCSW
Clinical Social Worker
NPI 1124626254
1200 ATWATER DR STE 130
Malvern, PA 19355
(610) 646-1851
✔ PECOS✔ Accepts Medicare40 mi
Regina Glisson, APN-C
Nurse Practitioner
NPI 1245576834
645 NEPTUNE BLVD
Neptune, NJ 07753
(732) 858-4351
✔ PECOS✔ Accepts Medicare41 mi
Esohe Obasohan, APN
Nurse Practitioner
NPI 1801476932
59 KOCH AVE
Morris Plains, NJ 07950
(973) 538-1800
✔ PECOS✔ Accepts Medicare43 mi
Christiana Nduka-Onwuka, PMHNP-BC
Nurse Practitioner
NPI 1962027979
19 BOYDEN PKWY S
Maplewood, NJ 07040
(862) 520-6430
✔ PECOS✔ Accepts Medicare43 mi
Leona Nobles-Harrington
Nurse Practitioner
NPI 1285280529
25 POP KRAMER BLVD
Clayton, NJ 08312
(856) 881-9000
✔ PECOS44 mi
Kristina Flores, APN
Nurse Practitioner
NPI 1407293863
625 BROAD ST STE 240
Newark, NJ 07102
(917) 409-8596
✔ PECOS✔ Accepts Medicare47 mi
Hadley Noble, LCSW
Clinical Social Worker
NPI 1043697725
30 MORAN ST
Newton, NJ 07860
(973) 975-7479
✔ PECOS✔ Accepts Medicare55 mi
Jeisy Mitre, LCSW
Clinical Social Worker
NPI 1790321354
561 TILTON RD
Northfield, NJ 08225
(609) 267-5656
✔ PECOS✔ Accepts Medicare55 mi
Padmavathy Kurra, MD
Psychiatry
NPI 1205949468
15-01 BROADWAY SUITE 10-B
Fair Lawn, NJ 07410
(201) 794-7733
✔ PECOS✔ Accepts Medicare58 mi
Jamie Grimes, LCSW
Clinical Social Worker
NPI 1972884518
899 BAYSHORE RD
Villas, NJ 08251
(609) 886-8666
✔ PECOS✔ Accepts Medicare85 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Meditelecare Of New Jersey LLC enrolled in Medicare?

Yes. Meditelecare Of New Jersey LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meditelecare Of New Jersey LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 4 Medicare specialties reassign their Medicare billing to Meditelecare Of New Jersey LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Clinical Social Worker (6) and Clinical Psychologist (4). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 17 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.