NPIMap

Organization Active NPI

Jeffrey Rapaport,MD,PA

  • Procedural Dermatology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1184777427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
MA40129 Issued in NJ
Legal business name
JEFFREY RAPAPORT,MD,PA
Practice address
333 Sylvan Ave
207
Englewood Cliffs, NJ 07632-2724
Phone
(201) 227-1555
Fax
(201) 227-8477
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey A Rapaport, MDNPI 1629161989
Title
President
Phone
(201) 227-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X MA40129 NJ Primary

Addresses

Primary practice location

333 Sylvan Ave
207
Englewood Cliffs, NJ 07632-2724

Mailing address

333 Sylvan Ave
207
Englewood Cliffs, NJ 07632-2724
Phone (201) 227-1555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070530000566 NJ Part B Supplier - Clinic/Group Practice 2062510977 Receives reassigned benefits from 8 practitioners
Practice locations: Englewood Cliffs, NJ; Jersey City, NJ; Old Bridge, NJ; Secaucus, NJ

National Provider Directory

National Provider Directory

Locations

333 Sylvan Ave
Ste 207
Englewood Cliffs, NJ 07632
Phone (201) 227-1555

100 W Veterans Hwy
Ste 12
Jackson, NJ 08527
Phone (732) 761-8400

3 Hospital Plz
Ste 300
Old Bridge, NJ 08857

255 State Rt 3
Ste 206
Secaucus, NJ 07094
Phone (201) 227-1555

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184777427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "207",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724",
            "telephone_number": "201-227-1555",
            "fax_number": "201-227-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "207",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724",
            "telephone_number": "201-227-1555",
            "fax_number": "201-227-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY RAPAPORT,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPAPORT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-227-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "MA40129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.