Umdnj RWJ OBGYN

Primary specialty

Perinatal Nurse PractitionerTaxonomy code 363LP1700X

License

NR05721700 Issued in NJ

Legal business name

UMDNJ RWJ OBGYN

Practice address

1 Robert Wood Johnson PL
High Risk Clinic Atrium
New Brunswick, NJ 08901-1928

Phone

(732) 253-3892

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Christine L Jackson

Title

Program Assistant

Phone

(732) 235-5335

Specialties & licenses 1

Addresses

Tax ID family

Rutgers Health-RWJ Maternal Fetal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rutgers Health-RWJ Scleroderma Program

  • Maternal & Fetal Medicine Physician
  • Somerville, NJ
  • NPI 1750453346
  NPD tax ID

Locations

Practitioners 1

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

• Marlene Schwebel, JD, APN, CNS, RNC

  • Inpatient Obstetric Registered Nurse
  • New Brunswick, NJ
  • NPI 1760671853
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376748103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "STE. 2142",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-253-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "address_2": "HIGH RISK CLINIC ATRIUM",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "732-253-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ RWJ OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM ASSISTANT",
        "authorized_official_telephone_number": "732-235-5335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "NJ",
            "license": "NR05721700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in New Brunswick, NJ
• Perinatal Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.