Active NPIIndividual providerSole proprietor

Dr. Jason D Rodker, PSYD

Psychologist, Clinical in Millburn, New Jersey

NPI Number1013305101
Practice location
90 Millburn Ave, Millburn, NJ 07041-1945
Fax
973-378-5590
Last updated
December 26, 2014

Jason D Rodker is a Psychologist, Clinical based in Millburn, NJ. Jason D Rodker practices in Millburn, NJ and has the professional credentials of PSYD. The NPI Number for Jason D Rodker is 1013305101 and holds a License No. 143-050 (NJ). The current practice location address for Jason D Rodker is 90 Millburn Ave, Millburn, NJ 07041-1945 and can be reached out via phone at 973-378-5525 and via fax at 973-378-5590.

Provider Profile Details

NPI Number
1013305101
Provider Name
Jason D Rodker
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
90 Millburn Ave, Millburn, NJ 07041-1945
Phone Number
973-378-5525
Fax Number
973-378-5590
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2014
Last Update Date
December 26, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Millburn Ave
Millburn, NJ 07041-1945
Zip
07041-1945
Phone Number
973-378-5525
Fax Number
973-378-5590
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
90 Millburn Ave
Millburn, NJ 07041-1945
City
Millburn
State
NJ
Zip
07041-1945
Phone Number
973-378-5525
Fax Number
973-378-5590

License Information

License Number
143-050
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jason D Rodker, PSYD?

The NPI number of Dr. Jason D Rodker, PSYD is 1013305101. It was assigned on December 26, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason D Rodker, PSYD?

Dr. Jason D Rodker, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 143-050.

Where does Dr. Jason D Rodker, PSYD practice?

The practice location is 90 Millburn Ave, Millburn, NJ 07041-1945. The office can be reached at 973-378-5525 (phone) or 973-378-5590 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013305101 directly on the NPPES registry website.

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