NPIMap

Organization Active NPI

Rutgers Health-RWJ Scleroderma Program

  • Pediatric Hematology & Oncology Physician
  • New Brunswick, NJ
National Provider Identifier
1104842285
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Practice address
195 Little Albany St
New Brunswick, NJ 08901-1914
Phone
(732) 235-6455
Fax
(732) 235-6462
NPI assigned
Jul 14, 2006
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 38

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

View all 38

Practitioners 12

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

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…

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

89 French St
Rm 2230
New Brunswick, NJ 08901

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

195 Little Albany St
Ste 2800
New Brunswick, NJ 08901
Phone (732) 235-2465

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X Primary

Addresses

NPPES NPI Registry

Primary practice location

195 Little Albany St
New Brunswick, NJ 08901-1914

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
5067103MedicaidNJ

Other names 1

NPPES NPI Registry
  • Rutgers Health-RWJ Pediatric Hematology-Oncology Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2021.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1104842285",
    "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": "195 LITTLE ALBANY ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-235-6455",
            "fax_number": "732-235-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-01-19",
        "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": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5067103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers Health-RWJ Pediatric Hematology-Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.