Dr Anastasia Raisa Pytal, PSYD is a
Psychologist based in Little Falls, New Jersey. Dr Anastasia Raisa Pytal is licensed to practice in New Jersey (license number 5288) and her current practice location is
39 East Main Street, 2nd Floor, Little Falls, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 454-5569.
NPI number for Dr Anastasia Raisa Pytal is 1386069219 and her current mailing address is 175 W Cohawkin Rd Ste C, Clarksboro, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386069219.
Healthcare Provider's Profile
| Full Name | Dr Anastasia Raisa Pytal |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 39 East Main Street, 2nd Floor, Little Falls, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386069219
- Provider Enumeration Date: 03/01/2014
- Last Update Date: 09/23/2019
Medical Identifiers
Medical identifiers for Dr Anastasia Raisa Pytal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386069219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 0810004880 (Virginia) | Secondary |
| 103T00000X | Psychologist | 708895 (Maryland) | Secondary |
| 103T00000X | Psychologist | 8355061 (New York) | Secondary |
| 103T00000X | Psychologist | 5288 (New Jersey) | Primary |
| 103T00000X | Psychologist | PSY1000880 (District Of Columbia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Anastasia Raisa Pytal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Anastasia Raisa Pytal, PSYD
175 W Cohawkin Rd Ste C,
Clarksboro, NJ 08020-1145
Ph: (856) 423-7700 | Dr Anastasia Raisa Pytal, PSYD
39 East Main Street, 2nd Floor,
Little Falls, NJ 07424-2206
Ph: (973) 454-5569 |
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