Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex John Rupp

Individual provider Case Manager/Care Coordinator · NPI 1003707589

Alex John Rupp is a Case Manager/Care Coordinator in Kings Park, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
Specialties on file
3

Practice location Address checks out

77 W Main St
Kings Park, NY 11754-1605
Phone: (631) 304-3374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 78-P138140-01 (NY)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1003707589
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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