1174588354 NPI number — DR. STEVEN J RAPP M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174588354 NPI number — DR. STEVEN J RAPP M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAPP
Provider First Name:
STEVEN
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174588354
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5500 ISLAND ESTATES DR APT 701
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AVENTURA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33160-5197
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-243-0088
Provider Business Mailing Address Fax Number:
954-414-9312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5500 ISLAND ESTATES DR APT 701N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AVENTURA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33160-5197
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-243-0088
Provider Business Practice Location Address Fax Number:
954-414-9312
Provider Enumeration Date:
04/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME0039374 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: ME0039374 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 036033300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0402718 . This is a "UNITED HEALTHCARE OPEN ACCESS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2031MERL . This is a "NEIGHBORHOOD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2296549 . This is a "AETNA HMO POS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0007331008 . This is a "AETNA PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0470248 . This is a "UNITED HEALTHCARE HMO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 94267 . This is a "BLUE CROSS BLUE SHIELD OF FLORIDA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1408414 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 206931 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2227668 . This is a "AETNA HMO POS GRP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 77902 . This is a "MEDICARE GROUP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 94267W . This is a "MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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