Active NPI
Rutgers University Diagnostic Services
- Clinical Medical Laboratory
- Newark, NJ
National Provider Identifier
1083813745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1J3571 | Other | NJ | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Newark, NJ
- NPI 1609028190
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
- Rutgers Pharmacy Newark
- Rutgers School of Dental Medicine
- Rutgers School of Dental Medicine
- Rutgers the State University of New Jersey
- Rutgers University
- Rutgers-University Behavioral Health Care
- Rutgers-University Behavioral Health Care
- Rutgers-University Behavioral Health Care
- Rutgers-University Behavioral Health Care
- Rutgers, That State University of New Jersey
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.