Organization Active NPI

Rowansom Dept of Rheumatology

  • Rheumatology Physician
  • Stratford, NJ
National Provider Identifier
1467422287
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ROWANSOM DEPT OF RHEUMATOLOGY
Practice address
42 E Laurel Rd Ste 3100
Stratford, NJ 08084-1354
Phone
(856) 566-7070
Fax
(856) 566-5079
NPI assigned
Jan 24, 2006
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ROWAN UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Keliyvette Workman
Title
Director of Managed Care
Phone
(856) 566-6831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

42 E Laurel Rd Ste 3100
Stratford, NJ 08084-1354

Mailing address

PO Box 71356
Philadelphia, PA 19176-1356
Phone (856) 582-5678

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address imrheum@rowan.direct-ci.net
Direct Messaging Address imrheum@rowan.direct-ci.net Direct

National Provider Directory

National Provider Directory

Locations

2201 Chapel Ave W
Ste 203
Cherry Hill, NJ 08002
Phone (856) 488-6880

400 Medical Center Dr
Ste E
Sewell, NJ 08080
Phone (856) 582-5678

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1561334400000",
    "number": "1467422287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71356",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191761356",
            "telephone_number": "856-582-5678",
            "fax_number": "856-582-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3100",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7070",
            "fax_number": "856-566-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM DEPT OF RHEUMATOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROWAN UNIVERSITY",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KELIYVETTE",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "856-566-6831"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imrheum@rowan.direct-ci.net",
            "affiliation": "N",
            "address_1": "570 Egg Harbor Rd Ste C2",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imrheum@rowan.direct-ci.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "570 Egg Harbor Rd Ste C2",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.