Cleveland D. Rea Jr.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00380900 Issued in NJ

Practice address

109 E Laurel Rd
1St Floor
Stratford, NJ 08084-1324

Phone

(856) 566-6034

Fax

(856) 566-6208

NPI assigned

Sep 3, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1003284332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E LAUREL RD",
            "address_2": "1ST FLOOR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841324",
            "telephone_number": "856-566-6034",
            "fax_number": "856-566-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E LAUREL RD",
            "address_2": "1ST FLOOR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841324",
            "telephone_number": "856-566-6034",
            "fax_number": "856-566-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "CLEVELAND",
        "middle_name": "D.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00380900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibraheem Rahman
• Akshay Rajpal, DDS
• Vindhya Rani Rapelli
• Mohammad Rattu, D.O.
• Priyanka Ravichandran, DO, MPH
• Emily Reilly
• Rheumatology and Arthritis Center
• Rite Aid of New Jersey Inc
• Emma Kathryn Roccaforte, DO
• Marcela Kim Roger, MD

• Psychologist in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.