Organization Active NPI

Robert Wood Johnson Physician Enterprise

  • Family Medicine Physician
  • Somerset, NJ
National Provider Identifier
1245587922
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE
Practice address
3 Executive Drive
Suite 400
Somerset, NJ 08873
Phone
(732) 369-5994
Fax
(732) 369-5993
NPI assigned
Aug 13, 2012
Last updated
May 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Joshua Bershad
Title
President & Ceo
Phone
(732) 369-5994

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Advanced Practice Midwife 367A00000X
Family Medicine Physician 207Q00000X Primary
Sports Medicine (Family Medicine) Physician 207QS0010X
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X
Clinical Cardiac Electrophysiology Physician 207RC0001X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Gastroenterology Physician 207RG0100X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
Pulmonary Disease Physician 207RP1001X
Nuclear Cardiology Physician 207UN0901X
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

3 Executive Drive
Suite 400
Somerset, NJ 08873

Mailing address

3 Executive Drive
Suite 400
Somerset, NJ 08873
Phone (732) 369-5994

Other identifiers 1

IdentifierTypeStateIssuer
0319392MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121218000345 NJ Part B Supplier - Clinic/Group Practice 5597917633 Receives reassigned benefits from 208 practitioners

National Provider Directory

National Provider Directory

Locations (25 of 56)

3322 US Highway 22 W
Ste 1302
Branchburg, NJ 08876
Phone (908) 526-0700

1200 Route 22
Ste 22
Bridgewater, NJ 08807

1200 US Highway 22
Ste 17
Bridgewater, NJ 08807
Phone (908) 864-4027

250 State Route 28
Ste 208
Bridgewater, NJ 08807
Phone (732) 937-8897

1 Sheffield Dr
Columbus, NJ 08022
Phone (609) 416-3400

1 Sheffield Dr
Ste 202A
Columbus, NJ 08022
Phone (609) 740-0030

12 Stults Rd
Ste 122
Dayton, NJ 08810

421 Old Bridge Tpke
East Brunswick, NJ 08816
Phone (732) 238-2222

557 Cranbury Rd
Ste 22
East Brunswick, NJ 08816
Phone (732) 613-0500

557 Cranbury Rd
Ste 7E
East Brunswick, NJ 08816

579A Cranbury Rd
Fl 1
East Brunswick, NJ 08816

585 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 230-2510

593 Cranbury Rd
Fl 1
East Brunswick, NJ 08816
Phone (732) 994-3278

593 Cranbury Rd
Ste 1A
East Brunswick, NJ 08816
Phone (732) 613-8880

10 Parsonage Rd
Ste 441
Edison, NJ 08837

1804 Oak Tree Rd
Ste 4
Edison, NJ 08820
Phone (732) 744-0634

35 Progress St
#37
Edison, NJ 08820

45 County Road 520
Englishtown, NJ 07726

5 Walter E Foran Blvd
Ste 4001
Flemington, NJ 08822
Phone (908) 751-5939

901 W Main St
Ste 2015
Freehold, NJ 07728

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

2063 Klockner Rd
Fl 1
Hamilton, NJ 08690
Phone (609) 631-1001

105 Raider Blvd
Ste 102
Hillsborough, NJ 08844
Phone (908) 431-9911

200 Courtyard Dr
Ste 212213
Hillsborough, NJ 08844

331 Route 206
Ste D
Hillsborough, NJ 08844
Phone (908) 262-2470

Practitioners & affiliated clinicians

Practitioners 241

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 241

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1245587922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE DRIVE",
            "address_2": "SUITE 400",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-369-5994",
            "fax_number": "732-369-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE DRIVE",
            "address_2": "SUITE 400",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-369-5994",
            "fax_number": "732-369-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "BERSHAD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "732-369-5994"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0319392",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.