BARIATRIC PSYCHOLOGICAL SERVICES — NPI 1053719054 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health in FLORHAM PARK, NJ)

CMS-1500 Box 24J / 33a • NPI

1053719054

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TH0004X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health

Box 32 Service Location & ZIP+4

83 HANOVER RD, SUITE 190, FLORHAM PARK, NJ, 07932-1508

✓ 9-Digit EDI 837 ZIP+4 (07932-1508)

Practice Phone & Referral Fax

(973) 410-9700

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053719054 (BARIATRIC PSYCHOLOGICAL SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053719054` (NPI-2 Organization / Facility)
Provider / Legal Name	BARIATRIC PSYCHOLOGICAL SERVICES
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health NUCC Code: `103TH0004X` (Psychologist, Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	83 HANOVER RD, SUITE 190, FLORHAM PARK, NJ, 07932-1508
Practice Telephone / Fax	Tel: (973) 410-9700
Administrative Mailing Address	212 SHORT HILLS AVE, SPRINGFIELD, NJ, 07081-1040
Enumeration & Last Sync	Enumerated: 2014-12-08 \| CMS Record Updated: 2014-12-08
Authorized Official	MICHAEL SCHWARTZ (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

83 HANOVER RD, SUITE 190, FLORHAM PARK, NJ, 07932-1508

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Plain-English Taxonomy & CMS Crosswalk (103TH0004X)

What Does Taxonomy Code 103TH0004X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TH0004X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BARIATRIC PSYCHOLOGICAL SERVICES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TH0004X` — Psychologist, Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health	State: NJ \| License: `3300` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BARIATRIC PSYCHOLOGICAL SERVICES (NPI #1053719054)