Healthcare Provider Details

I. General information

NPI: 1346174802
Provider Name (Legal Business Name): TUJAIM M BERRY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 MONROE AVE
NEPTUNE NJ
07753-4516
US

IV. Provider business mailing address

1312 MONROE AVE
NEPTUNE NJ
07753-4516
US

V. Phone/Fax

Practice location:
  • Phone: 732-865-0994
  • Fax:
Mailing address:
  • Phone: 732-865-0994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1179166
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: