NPIMap

Organization Active NPI

Rutgers Health-RWJ Neurosurgery Faculty

  • Pediatric Surgery Physician
  • New Brunswick, NJ
National Provider Identifier
1487736146
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY
Practice address
125 Paterson St
Suite 4100
New Brunswick, NJ 08901-1962
Phone
(732) 235-7821
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Brenda Lawrence
Title
Director of Revenue Cycle
Phone
(732) 235-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0120X Primary

Addresses

Primary practice location

125 Paterson St
Suite 4100
New Brunswick, NJ 08901-1962

Mailing address

66 W Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051

Other identifiers 1

IdentifierTypeStateIssuer
5094801MedicaidNJ

Other names 1

  • Rutgers Health-RWJ Pediatric Surgery Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050118000611 NJ Part B Supplier - Clinic/Group Practice 4587613443 Receives reassigned benefits from 349 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toms River, NJ; New Brunswick, NJ; Newark, NJ; Princeton, NJ; Somerset, NJ; Somerville, NJ; Trenton, NJ; West Orange, NJ…
O20050414001115 NJ Part B Supplier - Clinic/Group Practice 0244277853 Receives reassigned benefits from 12 practitioners
Practice locations: Long Branch, NJ; West Orange, NJ; Somerset, NJ; Princeton, NJ; New Brunswick, NJ; Monroe Township, NJ

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

210 Somerset St
Fl 15
New Brunswick, NJ 08901

210 Somerset St
Fl 11
New Brunswick, NJ 08901
Phone (732) 235-5530

125 Paterson St
Ste 3300
New Brunswick, NJ 08901
Phone (732) 235-7821

210 Somerset St
Fl 12
New Brunswick, NJ 08901
Phone (732) 235-5530

1 Worlds Fair Dr
Ste 1200
Somerset, NJ 08873
Phone (732) 743-2575

110 Rehill Ave
Ste 1134
Somerville, NJ 08876
Phone (908) 685-2200

3700 Rte 33
Ste A
New York, NY 10087

Practitioners & affiliated clinicians

Practitioners 188

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

View all 188

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1487736146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "SUITE 4100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "732-235-6070"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5094801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers Health-RWJ Pediatric Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 19, 2021; 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.