Active NPIIndividual provider

Brooke A Rudolph

Social Worker, Clinical in Port Monmouth, New Jersey

NPI Number1548741903
Practice location
70 Murphy RD # 300A, Port Monmouth, NJ 07758-1030
Fax
—
Last updated
April 1, 2025

Brooke Ashlie Rudolph is a Social Worker, Clinical based in Port Monmouth, NJ. Brooke Ashlie Rudolph practices in Port Monmouth, NJ. The NPI Number for Brooke Ashlie Rudolph is 1548741903 and holds a License No. 107973 (NY). The current practice location address for Brooke Ashlie Rudolph is 70 Murphy RD # 300A, Port Monmouth, NJ 07758-1030 and can be reached out via phone at 732-787-1220.

Provider Profile Details

NPI Number
1548741903
Provider Name
Brooke Ashlie Rudolph
Provider Entity Type
Individual
Gender
Female
Address
70 Murphy RD # 300A, Port Monmouth, NJ 07758-1030
Phone Number
732-787-1220
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2018
Last Update Date
April 1, 2025
Certification Date
April 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Murphy RD # 300A
Port Monmouth, NJ 07758-1030
Zip
07758-1030
Phone Number
732-787-1220
Port Monmouth, NJ 07758Get directions →

Provider Business Mailing Address Details

Address
3019 Camelot CT
Helmetta, NJ 08828-2501
City
Helmetta
State
NJ
Zip
08828-2501
Phone Number
732-799-9474

License Information

License Number (1)
107973
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SL06680500
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · 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 Brooke A Rudolph?

The NPI number of Brooke A Rudolph is 1548741903. It was assigned on August 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Brooke A Rudolph?

Brooke A Rudolph is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 107973.

Where does Brooke A Rudolph practice?

The practice location is 70 Murphy RD # 300A, Port Monmouth, NJ 07758-1030. The office can be reached at 732-787-1220 (phone).

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 1548741903 directly on the NPPES registry website.

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