NPIMap

Organization Active NPI

Robert Wood Johnson Medical Associates at Hamilton PA

  • General Practice Physician
  • Linden, NJ
National Provider Identifier
1619206828
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA
Practice address
328 W Saint Georges Ave
Linden, NJ 07036-5638
Phone
(908) 925-2273
Fax
(908) 925-2235
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Jacqueline Mintz
Title
Director of Finance
Phone
(732) 369-5967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

328 W Saint Georges Ave
Linden, NJ 07036-5638

Mailing address

PO Box 352
Linden, NJ 07036-0352
Phone (908) 925-7519

Other identifiers 2

IdentifierTypeStateIssuer
175006OtherNJMEDICARE PTAN
CL1465OtherNJRR MEDICARE

Other names 1

  • Care Station Medical Group Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040924000847 NJ Part B Supplier - Clinic/Group Practice 6204805419 Receives reassigned benefits from 84 practitioners
Practice locations: West Orange, NJ; Succasunna, NJ; Springfield, NJ; Secaucus, NJ; Linden, NJ; Garwood, NJ
O20210428002586 NJ DME Supplier - Physician - General Practice 6204805419 Practice locations: Linden, NJ

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

5919 Oak Ave
Temple City, CA 91780
Phone (626) 291-2219

90 Rte 22 W
Baton Rouge, LA 70813

569 Abbington Dr
East Windsor, NJ 08520
Phone (609) 443-1112

9 Lamont Ave
Hamilton, NJ 08619
Phone (609) 584-7492

1960 Brunswick Ave
Lawrenceville, NJ 08648

3131 Princeton Pike
Ste 2-B104
Lawrenceville, NJ 08648
Phone (609) 896-8050

8 Quakerbridge Plz
Ste J
Mercerville, NJ 08619

40 Bey Lea Rd
Ste A101
Toms River, NJ 08753

522 Courtlandt Ave
Fl 2
Bronx, NY 10451
Phone (718) 312-6476

Practitioners & affiliated clinicians

Practitioners 92

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

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1619206828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070360352",
            "telephone_number": "908-925-7519",
            "fax_number": "908-925-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365638",
            "telephone_number": "908-925-2273",
            "fax_number": "908-925-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "732-369-5967"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "175006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CL1465",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Station Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.