Organization Active NPI

Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1265037501
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RWJBH PRIMARY CARE SERVICES
Practice address
95 Old Short Hills Rd
West Orange, NJ 07052-1008
Phone
(973) 322-5000
NPI assigned
Dec 3, 2020
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Michelle Mitchell
Title
Director of Credentialing
Phone
(732) 867-9618

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

95 Old Short Hills Rd
West Orange, NJ 07052-1008

Mailing address

3 Executive Dr Ste 400
Somerset, NJ 08873-4007
Phone (732) 867-9618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210512000720 NJ Part B Supplier - Clinic/Group Practice 0749699346 Receives reassigned benefits from 426 practitioners

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 60)

415 Avenel St
Ste B
Avenel, NJ 07001
Phone (732) 634-4300

519 Broadway
Ste 3600
Bayonne, NJ 07002
Phone (551) 214-3540

1 Clara Maass Dr
Ste 250
Belleville, NJ 07109
Phone (973) 302-6450

3322 US Highway 22
Bldg 6
Branchburg, NJ 08876

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

138 Westfield Ave
Ste 5
Clark, NJ 07066
Phone (732) 381-5565

152 Central Ave
Clark, NJ 07066
Phone (732) 382-9700

200 Williamson St
Ste 320
Elizabeth, NJ 07202
Phone (908) 994-5500

731 Lacey Rd
Ste 1
Forked River, NJ 08731
Phone (609) 242-0040

23 S 1st Ave
Highland Park, NJ 08904
Phone (732) 545-3434

505 Raritan Ave
Ste A
Highland Park, NJ 08904
Phone (732) 393-1331

95 Newark St
Hoboken, NJ 07030

260 N County Line Rd
Ste 113
Jackson, NJ 08527

100 Town Square Pl
Ste 208
Jersey City, NJ 07310
Phone (201) 716-5850

169 York St
Jersey City, NJ 07302

1825 John F Kennedy Blvd
#1
Jersey City, NJ 07305
Phone (201) 942-4545

200 Hudson St
Ste 145
Jersey City, NJ 07311
Phone (201) 360-0782

317 Central Ave
#1
Jersey City, NJ 07307
Phone (201) 839-2640

317 Central Ave
Fl 1
Jersey City, NJ 07307

600 Pavonia Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 216-3030

600 Pavonia Ave
Ste FI2
Jersey City, NJ 07306

206 Bergen Ave
Ste 201
Kearny, NJ 07032
Phone (201) 948-5879

206 Bergen Ave
Ste 208
Kearny, NJ 07032
Phone (201) 948-5879

600 River Ave
Fl 3
Lakewood, NJ 08701
Phone (732) 886-4700

2999 Princeton Pike
Ste 3
Lawrenceville, NJ 08648
Phone (609) 882-9333

Practitioners & affiliated clinicians

Practitioners 458

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 458

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1265037501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE DR STE 400",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734007",
            "telephone_number": "732-867-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 OLD SHORT HILLS RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521008",
            "telephone_number": "973-322-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWJBH PRIMARY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "732-867-9618"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.