Active NPI
Rahway Pathology, P.a.
- Anatomic Pathology & Clinical Pathology Physician
- Rahway, NJ
National Provider Identifier
1467534495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MA28211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6846807 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Rahway, NJ
- NPI 1396793972
Anatomic Pathology & Clinical Pathology
-
- Specialist
- Rahway, NJ
- NPI 1265504062
-
- Student in an Organized Health Care Education/Training Program
- New York, NY
- NPI 1942442942
NJ
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
- Rahway Garden Group LLC (Adroit Care Rehabilitation and Nursing Center)
- Rahway Geriatrics Center, Inc.
- Rahway Healthcare LLC (rahway healthcare center)
- Rahway Medical and Nephrology P.a.
- Rahway OT Spine Health
- Rahway Radiation Oncology Associates PC
- Rahway Spine and Healthcare LLC
- Nicole Latonya Rainey
- Rajdeep Singh Randhawa, D.D.S.
- Rare Specialty Services (Rare Specialty Pharmacy)
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.