Individual provider Active NPI

Jonathan L Rapaport, PH.D.

  • Psychologist
  • Ewing, NJ
National Provider Identifier
1750488458
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2511 Issued in NJ
Practice address
1901 N Olden Avenue Ext Ste 27
Ewing, NJ 08618-2111
Phone
(609) 671-1118
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2511 NJ Primary

Addresses

Primary practice location

1901 N Olden Avenue Ext Ste 27
Ewing, NJ 08618-2111

Mailing address

1901 N Olden Avenue Ext Ste 27
Ewing, NJ 08618-2111
Phone (609) 671-1118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040209000850 NJ Practitioner - Clinical Psychologist 2961396254 Practice locations: Ewing, NJ
I20250403002432 PA Practitioner - Clinical Psychologist 2961396254 Practice locations: Yardley, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1669 Edgewood Rd
Suite 217
Yardley, PA 19067-5571
Phone (609) 671-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2511NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Family Eye Care PC PastSince May 12, 2020 Accepting new patients
State of New Jersey Omb Centralized Payroll Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1750488458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 27",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-671-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 27",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-671-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPAPORT",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.