Organization Active NPI

Rbidc

  • Specialist
  • Old Bridge, NJ
National Provider Identifier
1497929103
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA28183 Issued in NJ
Legal business name
RBIDC
Practice address
3 Hospital PLZ
Suite 208
Old Bridge, NJ 08857-3093
Phone
(732) 360-2700
Fax
(732) 360-2703
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. John Middleton, MDNPI 1891852489
Title
President
Phone
(732) 360-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA28183 NJ Primary

Addresses

Primary practice location

3 Hospital PLZ
Suite 208
Old Bridge, NJ 08857-3093

Mailing address

3 Hospital PLZ
Suite 208
Old Bridge, NJ 08857-3093
Phone (732) 360-2700

Other identifiers 1

IdentifierTypeStateIssuer
1777203MedicaidNJ

National Provider Directory

National Provider Directory

Locations

3 Hospital Plz
#S208
Old Bridge, NJ 08857

Practitioners & affiliated clinicians

Practitioners 3

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1497929103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "address_2": "SUITE 208",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573093",
            "telephone_number": "732-360-2700",
            "fax_number": "732-360-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "address_2": "SUITE 208",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573093",
            "telephone_number": "732-360-2700",
            "fax_number": "732-360-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBIDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-360-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA28183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1777203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.