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

Rebecca Rivas, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134017767

Rebecca Rivas, CRNP is a Nurse Practitioner in Newark, New Jersey. Qualified in 2025, 1 year ago. Practices with Jls Medical PC, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
1
Licensed in
NJ, PA
In the registry since
2025
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone: (201) 822-1161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Henry Ave, Philadelphia, PA 19144-5409 — (215) 951-2800

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15374000 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP033183 (PA)

Record details

NPI number1134017767
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Jls Medical Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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