Organization Active NPI

Rahway Pathology, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rahway, NJ
National Provider Identifier
1467534495
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MA28211 Issued in NJ
Legal business name
RAHWAY PATHOLOGY, P.A.
Practice address
865 Stone St
Rahway, NJ 07065-2742
Phone
(732) 499-6139
Fax
(732) 499-6122
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Barry Benisch, M.D.
Title
President
Phone
(732) 499-6139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X MA28211 NJ Primary

Addresses

Primary practice location

865 Stone St
Rahway, NJ 07065-2742

Mailing address

1050 Wall St W Ste 360
Lyndhurst, NJ 07071-3604

Other identifiers 1

IdentifierTypeStateIssuer
6846807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091111000439 NJ Part B Supplier - Clinic/Group Practice 8729126784 Receives reassigned benefits from 4 practitioners
Practice locations: Rahway, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1467534495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W STE 360",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-499-6139",
            "fax_number": "732-499-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHWAY PATHOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "BENISCH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-499-6139",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "MA28211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6846807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.