Organization Active NPI

Rowansom Dept of Maternal-Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Sewell, NJ
National Provider Identifier
1003896341
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
ROWANSOM DEPT OF MATERNAL-FETAL MEDICINE
Practice address
570 Egg Harbor Rd
Suite C-2
Sewell, NJ 08080-2359
Phone
(856) 218-0300
Fax
(856) 589-9487
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Rieker
Title
Interim Chief Financial Officer
Phone
(856) 770-5729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

570 Egg Harbor Rd
Suite C-2
Sewell, NJ 08080-2359

Mailing address

570 Egg Harbor Rd
Suite C-2
Sewell, NJ 08080-2359
Phone (856) 218-0300

Other identifiers 4

IdentifierTypeStateIssuer
6304401MedicaidNJ
0739469000OtherNJAMERIHEALTH
478591OtherNJAETNA
DQ4958OtherNJRR MEDICARE

National Provider Directory

National Provider Directory

Locations

100 Kings Way E
Ste B5
Sewell, NJ 08080
Phone (856) 582-6700

405 Hurffvle CR Keys Rd
Ste 202
Sewell, NJ 08080
Phone (856) 566-7093

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1003896341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD",
            "address_2": "SUITE C-2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-218-0300",
            "fax_number": "856-589-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD",
            "address_2": "SUITE C-2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-218-0300",
            "fax_number": "856-589-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM DEPT OF MATERNAL-FETAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-770-5729"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6304401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0739469000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "478591",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DQ4958",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.