NPIMap

Organization Active NPI

Rowansom Dept of General Internal Medicine

  • Internal Medicine Physician
  • Stratford, NJ
National Provider Identifier
1619957941
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROWANSOM DEPT OF GENERAL INTERNAL MEDICINE
Practice address
42 Laurel Rd E
Udp, Suite 3100
Stratford, NJ 08084-1354
Phone
(856) 566-6845
Fax
(856) 566-6342
NPI assigned
Jan 20, 2006
Last updated
May 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Michael Rieker
Title
Interim Chief Financial Officer
Phone
(856) 770-5729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

42 Laurel Rd E
Udp, Suite 3100
Stratford, NJ 08084-1354

Mailing address

PO Box 635
Bellmawr, NJ 08099-0635
Phone (856) 770-5772

Other identifiers 2

IdentifierTypeStateIssuer
CN4488OtherNJRR MEDICARE
3152707MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1474 Tanyard Rd
Ste A
Sewell, NJ 08080
Phone (856) 566-6845

400 Medical Center Dr
Ste E
Sewell, NJ 08080
Phone (856) 582-5678

42 E Laurel Rd
#3100
Stratford, NJ 08084
Phone (609) 566-6859

42 E Laurel Rd
#3500
Stratford, NJ 08084
Phone (609) 566-6853

220 Sunset Rd
Ste 3A
Willingboro, NJ 08046
Phone (609) 835-3650

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1619957941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080990635",
            "telephone_number": "856-770-5772",
            "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 3100",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6845",
            "fax_number": "856-566-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM DEPT OF GENERAL INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-770-5729"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN4488",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 3, 2013; 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.