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NPI Code Detail

MEDICARE: DR. JASON S. FLEMING PSY.D

MEDICARE: DR. JASON S. FLEMING PSY.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistNJ PERMIT 043-492NJ

General Provider Information

NPI Number : 1013192160
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON S. FLEMING PSY.D
Provider Business Mailing Address
First Line : 25 N DOUGHTY AVE
Second Line :
City : SOMERVILLE
State : NJ
Zip : 08876-1811
Country : US
Telephone Number : 908-526-1177
Fax Number : 908-526-3139
Provider Business Practice Location Address
First Line : 25 N DOUGHTY AVE
Second Line :
City : SOMERVILLE
State : NJ
Zip : 08876-1811
Country : US
Telephone Number : 908-526-1177
Fax Number : 908-526-3139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2008
Last Update Date : 04/19/2026

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