Provider Demographics
NPI:1114041936
Name:NEWMAN, RONALD SCOTT (PHD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:SCOTT
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2148
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362-2148
Mailing Address - Country:US
Mailing Address - Phone:609-567-9022
Mailing Address - Fax:856-825-7898
Practice Address - Street 1:1305 BOULEVARD ROUTE 50
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330
Practice Address - Country:US
Practice Address - Phone:609-926-6665
Practice Address - Fax:856-825-7898
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ03257103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNE643246Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER