Organization Active NPI

The College of New Jersey Student Health Services

  • Student Health Clinic/Center
  • Ewing, NJ
National Provider Identifier
1013047794
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
THE COLLEGE OF NEW JERSEY STUDENT HEALTH SERVICES
Practice address
2000 Pennington Rd
Eickhoff Hall 107
Ewing, NJ 08618-1104
Phone
(609) 771-2889
Fax
(609) 637-5131
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Mrs. Holly Baker Heller, APNNPI 1225112618
Title
Director
Phone
(609) 771-2889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

2000 Pennington Rd
Eickhoff Hall 107
Ewing, NJ 08618-1104

Mailing address

2000 Pennington Road
Eickhoff Hall 107
Ewing, NJ 08618-1104
Phone (609) 771-2889

National Provider Directory

National Provider Directory
Tax ID family
The College of New Jersey Student Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2000 Pennington Rd
#107
Ewing, NJ 08618
Phone (609) 771-2483

2000 Pennington Rd
Ewing, NJ 08618
Phone (609) 771-2889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1013047794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PENNINGTON ROAD",
            "address_2": "EICKHOFF HALL 107",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181104",
            "telephone_number": "609-771-2889",
            "fax_number": "609-637-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PENNINGTON RD",
            "address_2": "EICKHOFF HALL 107",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181104",
            "telephone_number": "609-771-2889",
            "fax_number": "609-637-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLLEGE OF NEW JERSEY STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-771-2889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.