Rutgers Health-RWJ Pediatric Critical Care
Organization Active NPI Pediatric Critical Care Medicine Physician · New Brunswick, NJ
NPI 1164510400 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1164510400
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Critical Care Medicine Physician 2080P0203X
- Legal business name
- RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
- Practice address
- 1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928 - Phone
- (732) 235-7900
- Fax
- (732) 235-9340
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Nancy D Brady
- Title
- Sr Director of Revenue Cycle
- Phone
- (732) 235-6066
Other NPIs on the same Medicare enrollment 9
Practitioners 107
-
Adenike A Adesiyakan, APN
-
Temitope O Ajibade, CRNA
-
Nadia Ali, M.D
-
Naiya Amin, APN
-
Sylviana S. Barsoum, M.D.
-
Lisa Braunwell, A.P.N., R.N.
-
Arunateja Chennareddy, NURSE PRACTITIONER
-
Shaul Cohen, MD
-
Estela P Dimes, APN
-
Minh-Tu DO, M.D.
-
Jim Doran, CRNA
-
Bryan Gaeta, DNP, APN, CRNA
-
Vivian Gao, CRNA
-
Elizabeth Anne Goodman, M.D.
-
Jeremy S Grayson, MD
-
Mohammad A Hafiz, M.D.
-
Fatmata Kamara, CRNA
-
Kayleen J Kim, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050119000070 | NJ | Part B Supplier - Clinic/Group Practice | 1355390287 |
Receives reassigned benefits from 511 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Belleville, NJ; Toms River, NJ; Somerville, NJ; Somerset, NJ; Piscataway, NJ; New Brunswick, NJ; Manahawkin, NJ; Long Branch, NJ… |
National Provider Directory
Locations
10 Plum St
Fl 3
New Brunswick, NJ 08901
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
1 Worlds Fair Dr
Fl 1
Somerset, NJ 08873
Phone (732) 235-7894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician |
2080P0203X | Yes |
Addresses
Primary practice location
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Mailing address
66 West Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6306900 | Medicaid | NJ |
Other providers in New Brunswick, NJ
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Pediatric Critical Care
- Rutgers Health-RWJ Pediatric Critical Care
- Rutgers Health-RWJ Pediatric Critical Care
- Rutgers Health-RWJ Pediatric Critical Care
- Rutgers Health-RWJ Pediatric Critical Care
- Rutgers Health-RWJ Pediatric Critical Care
All providers in New Brunswick, NJ · Pediatric Critical Care Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.