Raritan Bay Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RARITAN BAY MEDICAL CENTER

Practice address

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654

Phone

(732) 293-2314

Fax

(732) 952-8841

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Hailperin

Title

Managed Care

Phone

(732) 293-2314

Specialties & licenses 9

Addresses

Other identifiers 12

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajit Desai

  • Surgery Physician
  • Perth Amboy, NJ
  • NPI 1609818640
  NPD (past)
• Guillermo Gutierrez, MD

  • Surgery Physician
  • Perth Amboy, NJ
  • NPI 1912999301
  NPD (past)
• Patrick Montefusco, MD

  • Specialist
  • Perth Amboy, NJ
  • NPI 1821032756
  NPD (past)
• Nina K Regevik, M.D.

  • Internal Medicine Physician
  • Perth Amboy, NJ
  • NPI 1548347446
  NPD (past)
• Jennifer Rerngsamai, LCSW

  • Clinical Social Worker
  • East Brunswick, NJ
  • NPI 1346513991
  NPD (past)
• Jennifer Turkish, MD

  • Family Medicine Physician
  • Old Bridge, NJ
  • NPI 1801937123
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1306954243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11665",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014665",
            "telephone_number": "732-293-2314",
            "fax_number": "732-952-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613654",
            "telephone_number": "732-293-2314",
            "fax_number": "732-952-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN BAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "HAILPERIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGED CARE",
        "authorized_official_telephone_number": "732-293-2314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEO GHI PPO GROUP #",
            "identifier": "0001431",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGERY RRMDCR GROUP #",
            "identifier": "DD0800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGERY GHI PPO GROUP #",
            "identifier": "0001431",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FP AETNA HMO GROUP #",
            "identifier": "0013003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBGYN AMERIHEALTH GROUP #",
            "identifier": "2697433000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRUG HEALTHSTART MEDICAID",
            "identifier": "4137809",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FP AETNA PPO GROUP #",
            "identifier": "6420530",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEO AETNA HMO GROUP #",
            "identifier": "0013003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEO AMERIHEALTH GROUP #",
            "identifier": "0004310000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATH RRMDCR GROUP #",
            "identifier": "DD0800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEO AETNA PPO GROUP #",
            "identifier": "7314162",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATH AMERIHEALTH GROUP #",
            "identifier": "0004310000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fausto J Ramos, D.P.M.
• Ramydia Health Care LLC
• Nina H Raps, RPH
• Raritan Bay Diagnostic Imaging
• Raritan Bay Medical Center
• Raritan Bay Medical Center
• Raritan Bay Medical Center
• Raritan Bay Medical Center Professional Services
• Raritan Bay Medical Center Professional Services
• Raritan Bay Medical Center Professional Services

• Family Medicine Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.