Active NPIIndividual providerSole proprietor

Joel D Rudolph Sr., LAMFT

Marriage & Family Therapist in Fair Lawn, New Jersey

NPI Number1235601451
Practice location
33-11 Broadway Ste 203, Fair Lawn, NJ 07410-4638
Fax
973-389-9110
Last updated
December 28, 2018

Joel David Rudolph is a Marriage & Family Therapist based in Fair Lawn, NJ. Joel David Rudolph practices in Fair Lawn, NJ and has the professional credentials of LAMFT. The NPI Number for Joel David Rudolph is 1235601451 and holds a License No. 37FA00000400 (NJ). The current practice location address for Joel David Rudolph is 33-11 Broadway Ste 203, Fair Lawn, NJ 07410-4638 and can be reached out via phone at 973-769-3699 and via fax at 973-389-9110.

Provider Profile Details

NPI Number
1235601451
Provider Name
Joel David Rudolph
Credential
LAMFT
Provider Entity Type
Individual
Gender
Male
Address
33-11 Broadway Ste 203, Fair Lawn, NJ 07410-4638
Phone Number
973-769-3699
Fax Number
973-389-9110
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2018
Last Update Date
December 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
33-11 Broadway Ste 203
Fair Lawn, NJ 07410-4638
Zip
07410-4638
Phone Number
973-769-3699
Fax Number
973-389-9110
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
876 Alps RD
Wayne, NJ 07470-3905
City
Wayne
State
NJ
Zip
07470-3905
Phone Number
973-445-5647
Fax Number
973-742-5100

License Information

License Number
37FA00000400
License State
NJ
Taxonomy
Marriage & Family Therapist · 106H00000X · 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 Joel D Rudolph Sr., LAMFT?

The NPI number of Joel D Rudolph Sr., LAMFT is 1235601451. It was assigned on December 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Joel D Rudolph Sr., LAMFT?

Joel D Rudolph Sr., LAMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in NJ under license number 37FA00000400.

Where does Joel D Rudolph Sr., LAMFT practice?

The practice location is 33-11 Broadway Ste 203, Fair Lawn, NJ 07410-4638. The office can be reached at 973-769-3699 (phone) or 973-389-9110 (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 1235601451 directly on the NPPES registry website.

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