Healthcare Provider Details

I. General information

NPI: 1932721511
Provider Name (Legal Business Name): JONATHAN S. RAPPS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WINDSOR LN
WEST HEMPSTEAD NY
11552-3036
US

IV. Provider business mailing address

205 WINDSOR LN
WEST HEMPSTEAD NY
11552-3036
US

V. Phone/Fax

Practice location:
  • Phone: 516-218-1577
  • Fax: 516-716-7832
Mailing address:
  • Phone: 516-218-1577
  • Fax: 516-716-7832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number329927-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number329927-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: