Organization Active NPI

Rowansom Dept of Pediatrics

  • Pediatrics Physician
  • Sewell, NJ
National Provider Identifier
1275503203
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROWANSOM DEPT OF PEDIATRICS
Practice address
405 Hurffville Crosskeys Rd
Suite 203
Sewell, NJ 08080-9340
Phone
(856) 582-0033
Fax
(856) 582-2305
NPI assigned
Jan 24, 2006
Last updated
May 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Michael Rieker
Title
Interim Chief Financial Officer
Phone
(856) 770-5729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

405 Hurffville Crosskeys Rd
Suite 203
Sewell, NJ 08080-9340

Mailing address

405 Hurffville Crosskeys Rd
Suite 203
Sewell, NJ 08080-9340
Phone (856) 582-0033

National Provider Directory

National Provider Directory

Locations

1474 Tanyard Rd
Ste B
Sewell, NJ 08080
Phone (856) 566-7045

1474 Tanyard Rd
Ste D102
Sewell, NJ 08080
Phone (856) 566-7045

1474 Tanyard Rd
Ste D200
Sewell, NJ 08080

42 E Laurel Rd
#2500
Stratford, NJ 08084
Phone (856) 566-2700

42 E Laurel Rd
Ste 254
Stratford, NJ 08084

188 Fries Mill Rd
Ste M5
Turnersville, NJ 08012
Phone (856) 262-9180

Practitioners & affiliated clinicians

Practitioners 59

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 59

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1275503203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 203",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809340",
            "telephone_number": "856-582-0033",
            "fax_number": "856-582-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 203",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809340",
            "telephone_number": "856-582-0033",
            "fax_number": "856-582-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM DEPT OF PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-770-5729"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.