Individual
DR. MOTI PELEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, DSW
Contact information
Practice address
115 PINE ST, RIDGEWOOD, NJ 07450-1619
(201) 652-6843
(201) 652-2187
Mailing address
115 PINE ST, RIDGEWOOD, NJ 07450-1619
(201) 652-6843
(201) 652-2187
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100293100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31983316801070
GHI
NJ
01
—
60054
AETNA
NJ
01
—
BS492
OXFORD HEALTH PLANS
NJ
01
—
V9B473
NORTH SHORE NJ EMPIRE
NJ
Enumeration date
01/16/2007
Last updated
07/09/2007
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