Organization Active NPI

Umdnj-Rwjms

  • Health Service Clinic/Center
  • New Brunswick, NJ
National Provider Identifier
1417214883
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
25MA08995800 Issued in NJ
Legal business name
UMDNJ-RWJMS
Practice address
125 Paterson St
New Brunswick, NJ 08901-1962
Phone
(732) 235-6600
NPI assigned
Apr 23, 2012
Last updated
Apr 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Gloria Bachman, MD
Title
Interim Department Chair OB GYN
Phone
(732) 235-7628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 25MA08995800 NJ Primary
General Acute Care Hospital 282N00000X 25MA08995800 NJ

Addresses

Primary practice location

125 Paterson St
New Brunswick, NJ 08901-1962

Mailing address

125 Paterson St
New Brunswick, NJ 08901-1962
Phone (732) 235-6632

National Provider Directory

National Provider Directory
Tax ID family
Rutgers-University Behavioral Health Care22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1417214883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6632",
            "fax_number": "732-235-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ-RWJMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "INTERIM DEPARTMENT CHAIR OB GYN",
        "authorized_official_telephone_number": "732-235-7628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "25MA08995800",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "25MA08995800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.