| The Rapha Collective | |
|
100 Maple St Jersey City NJ 07304-4043 | |
| (201) 450-2522 | |
| Not Available |
| Full Name | The Rapha Collective |
|---|---|
| Speciality | Social Worker |
| Location | 100 Maple St, Jersey City, New Jersey |
| Authorized Official Name and Position | Tracie Meyers (PRESIDENT) |
| Authorized Official Contact | 2014502522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rapha Collective 100 Maple St Jersey City NJ 07304-4043 Ph: (201) 450-2522 | The Rapha Collective 100 Maple St Jersey City NJ 07304-4043 Ph: (201) 450-2522 |
| NPI Number | 1861958316 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 8022492354 |
|---|---|
| Medicare Enrollment ID | O20220905000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861958316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracie Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316971914 PECOS PAC ID: 9436339603 Enrollment ID: I20110204000159 |
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