NPIMap

Organization Active NPI

Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
National Provider Identifier
1033207378
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Practice address
125 Paterson Street, Suite 2200
Piscataway, NJ 08854-5627
Phone
(732) 828-3000
Fax
(732) 235-3923
NPI assigned
Oct 11, 2006
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Brenda Lawrence
Title
Director of Revenue Cycle
Phone
(732) 235-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

125 Paterson Street, Suite 2200
Piscataway, NJ 08854-5627

Mailing address

66 W Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051

Other identifiers 1

IdentifierTypeStateIssuer
3579701MedicaidNJ

Other names 1

  • Rutgers Health-RWJ Psychiatric Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000326 NJ Part B Supplier - Clinic/Group Practice 5193764991 Receives reassigned benefits from 667 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Brunswick, NJ; North Brunswick, NJ; Perth Amboy, NJ; Piscataway, NJ; Somerset, NJ; Somerville, NJ; Toms River, NJ; East Brunswick, NJ…

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 38

National Provider Directory

National Provider Directory
Tax ID family
Rutgers Health - RWJ Clinical Genetics27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

36 Newark Ave
Ste 132
Belleville, NJ 07109
Phone (973) 844-4161

901 W Main St
#M
Freehold, NJ 07728
Phone (732) 303-5114

331 Route 206
Ste 2A
Hillsborough, NJ 08844
Phone (908) 685-2834

751 Route 206
#M
Hillsborough, NJ 08844
Phone (908) 725-2510

279 3rd Ave
Ste 306
Long Branch, NJ 07740
Phone (732) 235-6813

18 Centre Dr
Ste 207
Monroe Twp, NJ 08831
Phone (609) 655-1500

292 Bloomfield Ave
#M
Montclair, NJ 07042
Phone (732) 235-8006

10 Plum St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7784

125 Paterson St
Fl 6
New Brunswick, NJ 08901
Phone (732) 235-6146

125 Paterson St
Ste 2200
New Brunswick, NJ 08901
Phone (732) 235-7647

125 Paterson St
Ste 5123
New Brunswick, NJ 08901
Phone (732) 235-7246

195 Little Albany St
Ste 1100
New Brunswick, NJ 08901
Phone (732) 235-2465

195 Little Albany St
Ste 2013
New Brunswick, NJ 08901
Phone (732) 235-3939

195 Little Albany St
Ste 2701
New Brunswick, NJ 08901
Phone (732) 235-2465

195 Little Albany St
Ste 2900
New Brunswick, NJ 08901
Phone (732) 235-2465

170 Frelinghuysen Rd
Piscataway, NJ 08854
Phone (732) 445-0123

671 Hoes Ln W
Ste 104
Piscataway, NJ 08854
Phone (732) 235-7647

671 Hoes Ln W
Ste 338A
Piscataway, NJ 08854
Phone (732) 235-7647

110 Rehill Ave
#M
Somerville, NJ 08876
Phone (908) 685-2864

Practitioners & affiliated clinicians

Practitioners 682

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 682

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1033207378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON STREET, SUITE 2200",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545627",
            "telephone_number": "732-828-3000",
            "fax_number": "732-235-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "732-235-6070"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3579701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers Health-RWJ Psychiatric Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health-RWJ Psychiatric Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.