Provider Demographics
NPI:1306933767
Name:R.P.P., INC.
Entity type:Organization
Organization Name:R.P.P., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN-MEISSNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:732-224-8212
Mailing Address - Street 1:PO BOX 8399
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-8399
Mailing Address - Country:US
Mailing Address - Phone:732-224-8212
Mailing Address - Fax:732-224-7675
Practice Address - Street 1:3435 70TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1055
Practice Address - Country:US
Practice Address - Phone:732-224-8212
Practice Address - Fax:732-224-7675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY019887411Medicaid
NY04326Medicare PIN
NY019887411Medicaid
NYX42517Medicare UPIN