Active NPI
Jennifer Rulka, PA
- Physician Assistant
- Berkeley Heights, NJ
National Provider Identifier
1912413113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00468900
- Practice address
- 1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104 - Phone
- (908) 277-8759
- NPI assigned
- Dec 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00468900 | NJ | Primary |
Addresses
Primary practice location
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 277-8759
Other practice location 1
1203 Langhorne Newtown Rd Ste 138
Langhorne, PA 19047-1212
Phone (215) 741-3141
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | j.rulka@pbs.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1912413113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-277-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-277-8759"
}
],
"practiceLocations": [
{
"address_1": "1203 Langhorne Newtown Rd Ste 138",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471212",
"country_code": "US",
"telephone_number": "215-741-3141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RULKA",
"first_name": "JENNIFER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00468900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "j.rulka@pbs.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1203 Langhorne Newtown Rd Ste 138",
"city": "Langhorne",
"state": "PA",
"country_code": "US",
"postal_code": "190471212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.