Active NPI
RWJ Rahway Carecenter, LLC
- Multi-Specialty Clinic/Center
- Garwood, NJ
National Provider Identifier
1053544049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 25MB074721
- Legal business name
- RWJ RAHWAY CARECENTER, LLC
- Practice address
- 300 South Ave
Garwood, NJ 07027-1312 - Phone
- (225) 363-2172
- Fax
- (225) 363-2278
- NPI assigned
- Aug 25, 2009
- Organization subpart
- Yes
- Parent organization
- ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kirk Tice
- Title
- President & Ceo
- Phone
- (732) 499-6086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 25MB074721 | NJ | Primary |
Addresses
Primary practice location
300 South Ave
Garwood, NJ 07027-1312
Mailing address
300 South Ave
Garwood, NJ 07027-1312
Phone (908) 232-1439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239208 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Part of
- Robert Wood Johnson University Hospital at Rahway
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Rahway, NJ
- NPI 1861486870
Member Of
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Rahway, NJ
- NPI 1215921051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283385600000",
"number": "1053544049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTH AVE",
"city": "GARWOOD",
"state": "NJ",
"postal_code": "070271312",
"telephone_number": "908-232-1439",
"fax_number": "908-232-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SOUTH AVE",
"city": "GARWOOD",
"state": "NJ",
"postal_code": "070271312",
"telephone_number": "225-363-2172",
"fax_number": "225-363-2278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RWJ RAHWAY CARECENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY",
"enumeration_date": "2009-08-25",
"last_updated": "2010-09-02",
"status": "A",
"authorized_official_last_name": "TICE",
"authorized_official_first_name": "KIRK",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "732-499-6086",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NJ",
"license": "25MB074721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.