Joel David Rudolph Sr., LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FA00000400 Issued in NJ

Practice address

33-11 Broadway Ste 203
Fair Lawn, NJ 07410-4638

Phone

(973) 769-3699

Fax

(973) 389-9110

NPI assigned

Dec 28, 2018

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1235601451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703905",
            "telephone_number": "973-445-5647",
            "fax_number": "973-742-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-11 BROADWAY STE 203",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104638",
            "telephone_number": "973-769-3699",
            "fax_number": "973-389-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Van Houten St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075012121",
            "country_code": "US",
            "telephone_number": "973-742-2334",
            "fax_number": "973-742-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "JOEL",
        "middle_name": "DAVID",
        "name_suffix": "Sr.",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00000400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inna Rossina
• Jennifer Rothschild
• Linda Rothschild
• Route 4 Medical Associates LLC
• Mordehay Rubinchik, DDS
• Aliona Rudys, MD
• Vytas Rudys
• Barbara Ruggieri, M.S.W., L.S.W.
• Michelle Lori Ruggiero
• Garrett Rumsby, DPT

• Marriage & Family Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.