NPIMap

Organization Active NPI

Robert Wood Johnson Medical Associates at Hamilton PA

Doing business as Care Station Medical Group

  • General Practice Physician
  • Secaucus, NJ
National Provider Identifier
1265012660
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA
Doing business as
Care Station Medical Group
Practice address
210 Meadowlands Pkwy
Secaucus, NJ 07094-2311
Phone
(201) 348-3636
Fax
(201) 583-0713
NPI assigned
Apr 9, 2021
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Jacqueline Mintz
Title
Director of Finance
Phone
(732) 369-5967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

210 Meadowlands Pkwy
Secaucus, NJ 07094-2311

Mailing address

PO Box 352
Linden, NJ 07036-0352
Phone (908) 925-7519

Other names 1

  • Care Station Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429002717 NJ DME Supplier - Physician - General SurgeryDME Supplier - Sports Medicine 6204805419 Practice locations: Secaucus, NJ

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1799 Klockner Rd
Ste 102
Hamilton, NJ 08619
Phone (609) 689-2900

1700 Whitehorse Hamilton Square Rd
Ste B4
Trenton, NJ 08690
Phone (609) 584-1111

2 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 245-7390

Practitioners & affiliated clinicians

Practitioners 84

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 84

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1265012660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070360352",
            "telephone_number": "908-925-7519",
            "fax_number": "908-925-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942311",
            "telephone_number": "201-348-3636",
            "fax_number": "201-583-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "732-369-5967"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Station Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.