Individual ProviderKyle RulkaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address19 Davis Ave Fl 4, Neptune, NJ 07753-4488(732) 212-6598PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Rulka is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1194555631Provider TypeIndividualFull NameRulka, KyleCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date8/7/2024Last Updated9/16/2024Contact InformationPractice LocationPractice Address19 Davis Ave Fl 4, Neptune, NJ 07753-4488Phone(732) 212-6598FaxUnlisted FaxMailing LocationMailing Address19 Davis Ave Fl 4, Neptune, NJ 07753-4488Phone(732) 212-6598FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00876400New Jersey