Organization Active NPI

Rwjbarnabas

  • Primary Care Clinic/Center
  • Livingston, NJ
National Provider Identifier
1629503339
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
454832340 Issued in NJ
Legal business name
RWJBARNABAS
Practice address
200 S Orange Ave
Suite Number 112
Livingston, NJ 07039-5817
Phone
(973) 322-6457
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Ms. Florence Smith, ANPNPI 1811424419
Title
Geriatric
Phone
(973) 699-7963

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
Primary Care Clinic/Center 261QP2300X 454832340 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Suite Number 112
Livingston, NJ 07039-5817

Mailing address

200 Mount Pleasant Ave
Apt K9
West Orange, NJ 07052-4049
Phone (973) 699-7963

National Provider Directory

National Provider Directory
Tax ID family
Monmouth Medical Group PC2 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

200 S Orange Ave
#112
Livingston, NJ 07039
Phone (973) 322-6457

Practitioners & affiliated clinicians

Practitioners 1

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": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1629503339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOUNT PLEASANT AVE",
            "address_2": "APT K9",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524049",
            "telephone_number": "973-699-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "SUITE NUMBER 112",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWJBARNABAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "GERIATRIC",
        "authorized_official_telephone_number": "973-699-7963",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "454832340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.