Organization Active NPI

Rhodium Care Group Florida PA

  • Clinical Psychologist
  • Lakewood, NJ
National Provider Identifier
1174235972
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RHODIUM CARE GROUP FLORIDA PA
Practice address
21 Newwood Hills Ave
Lakewood, NJ 08701-4752
Phone
(732) 519-0997
NPI assigned
Dec 23, 2022
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Eli Weiss
Title
Owner
Phone
(212) 734-6621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

21 Newwood Hills Ave
Lakewood, NJ 08701-4752

Mailing address

21 Newwood Hills Ave
Lakewood, NJ 08701-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005000446 FL Part B Supplier - Clinic/Group Practice 5799130142 Receives reassigned benefits from 22 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1174235972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NEWWOOD HILLS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NEWWOOD HILLS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014752",
            "telephone_number": "732-519-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODIUM CARE GROUP FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.