JOSEPH RUDOLPH MSN AGPCNP-BC NPI 1285115451

NPI Information

  • NPI: 1285115451
  • Provider Name: JOSEPH RUDOLPH, MSN, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 COOPER PLZ
    CAMDEN, NJ
    ZIP 08103
  • Phone: (856) 342-3250

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NPI Details

Joseph Rudolph, MSN, AGPCNP-BC is a gerontology nurse practitioner in Camden, NJ with 7 years of experience. Joseph Rudolph, MSN, AGPCNP-BC NPI is 1285115451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 COOPER PLZ
CAMDEN, NJ
ZIP 08103-461
Phone: (856) 342-3250

The NPI 1285115451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 8/27/2018 and was last updated on 12/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health26NJ00847400NEW JERSEYNo
2363LG0600XNurse PractitionerGerontology26NJ00847400NEW JERSEYYes
3363LP2300XNurse PractitionerPrimary Care26NJ00847400NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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