NPIMap

Organization Active NPI

Rowansom Cares Institute

  • Pediatrics Physician
  • Stratford, NJ
National Provider Identifier
1487624649
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROWANSOM CARES INSTITUTE
Practice address
42 Laurel Rd E
Udp, Suite 1100
Stratford, NJ 08084-1354
Phone
(856) 566-7036
Fax
(856) 566-6108
NPI assigned
Jan 23, 2006
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Pediatrics Physician 208000000X NU Primary
Child Abuse Pediatrics Physician 2080C0008X NU

Addresses

Primary practice location

42 Laurel Rd E
Udp, Suite 1100
Stratford, NJ 08084-1354

Mailing address

PO Box 71356
Philadelphia, PA 19176-1356
Phone (856) 566-6706

Other identifiers 2

IdentifierTypeStateIssuer
3156915MedicaidNJ
7559704MedicaidNJ

Other names 1

  • UMDNJ-SOM NJ CARES Institute Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rowansom Cares Institute2 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.

Locations

42 E Laurel Rd
Ste 1100
Stratford, NJ 08084
Phone (856) 325-3866

3360 College Dr Ste B
Vineland, NJ 08360

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1487624649",
    "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": "856-566-6706",
            "fax_number": "856-566-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAUREL RD E",
            "address_2": "UDP, SUITE 1100",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7036",
            "fax_number": "856-566-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM CARES INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "856-566-6831"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156915",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7559704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMDNJ-SOM NJ CARES Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "UMDNJ-SOM NJ CARES Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 16, 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.