Individual provider Active NPI

Jeffrey Stuart Rutstein, PSY.D.

  • Clinical Psychologist
  • West Windsor, NJ
National Provider Identifier
1811032410
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00218300 Issued in NJ
Practice address
1684 Old Trenton Rd
West Windsor, NJ 08550-3205
Phone
(609) 426-4144
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00218300 NJ Primary

Addresses

Primary practice location

1684 Old Trenton Rd
West Windsor, NJ 08550-3205

Mailing address

1684 Old Trenton Rd
West Windsor, NJ 08550-3205
Phone (609) 426-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 18, 2023 through Sep 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35SI00218300NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811032410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 OLD TRENTON RD",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503205",
            "telephone_number": "609-426-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 OLD TRENTON RD",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503205",
            "telephone_number": "609-426-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00218300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

Verify at the official NPI Registry.