Organization Active NPI

Rutgers University Diagnostic Services

  • Clinical Medical Laboratory
  • Newark, NJ
National Provider Identifier
1083813745
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RUTGERS UNIVERSITY DIAGNOSTIC SERVICES
Practice address
110 Bergen St
Newark, NJ 07103-2495
Phone
(973) 972-1646
Fax
(973) 972-3164
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Dr. Joseph Rinaggio, DDS
Title
Director
Phone
(973) 972-4825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

110 Bergen St
Newark, NJ 07103-2495

Mailing address

110 Bergen St
Newark, NJ 07103-2495
Phone (973) 972-1646

Other identifiers 1

IdentifierTypeStateIssuer
1J3571OtherNJMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

110 Bergen St
Rm C830
Newark, NJ 07103
Phone (973) 972-8668

110 Bergen St
#860
Newark, NJ 07103
Phone (973) 972-4603

Practitioners & affiliated clinicians

Practitioners 1

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1083813745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "973-972-1646",
            "fax_number": "973-972-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "973-972-1646",
            "fax_number": "973-972-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS UNIVERSITY DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "RINAGGIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-972-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1J3571",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.