Active NPI
Jordan Benjamin Rapp, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD461409
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140 - Phone
- (215) 707-7237
- Fax
- (215) 707-9389
- NPI assigned
- Apr 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | MT205152 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA10104300 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | MD461409 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-7237
Other practice location 1
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-2000
Other practice location 2
333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 728-3883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505
Hospital & facility affiliations
- Children'S Hospital of Philadelphia
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT205152 | PA | MD | Pediatric Radiology Physician |
| 25MA10104300 | NJ | MD | Diagnostic Radiology Physician |
| MD461409 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HR Physician Services | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Pediatric Radiology | Current | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Pediatric Radiology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Group of Delaware, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
3120 Princeton Pike
Lawrenceville, NJ 08648
Phone (570) 558-6858
2501 Kuser Rd
Trenton, NJ 08691
Phone (609) 587-4777
601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000
100 N Academy Ave
Danville, PA 17822
2365 Heritage Center Dr
Furlong, PA 18925
Phone (215) 728-3883
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
1650 Huntingdon Pike
Ste 160
Meadowbrook, PA 19046
Phone (215) 344-9560
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334
1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000
11000 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 214-6655
701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
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- NPI 1972682995
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Diagnostic Radiology Physician
- Hamilton, NJ
- NPI 1811994791
PA, Pediatric Radiology
-
- Pediatric Radiology Physician
- Philadelphia, PA
- NPI 1467403261
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Radiology Clinic/Center
- Richboro, PA
- NPI 1619444122
-
- Pain Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1407339187
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558759571
Pediatric Radiology
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Philadelphia, PA
- NPI 1013627215
-
- Rehabilitation Hospital Unit
- Philadelphia, PA
- NPI 1134321748
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1245940600
Hospital
-
- Adolescent and Children Mental Health Clinic/Center
- Philadelphia, PA
- NPI 1851000673
Hospital
-
- Children's Hospital
- Philadelphia, PA
- NPI 1215921457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1053679902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-7237",
"fax_number": "215-707-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-707-7237",
"fax_number": "215-707-9389"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Cottman Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112497",
"country_code": "US",
"telephone_number": "215-728-3883",
"fax_number": "215-728-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAPP",
"first_name": "JORDAN",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-29",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "PA",
"license": "MT205152",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA10104300",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD461409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.