Active NPI
Rutgers Focus Wellness Center
- Nurse Practitioner
- Newark, NJ
National Provider Identifier
1639415110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- RUTGERS FOCUS WELLNESS CENTER
- Practice address
- 449 Broad St
Newark, NJ 07102-3224 - Phone
- (973) 732-6040
- Fax
- (973) 353-1035
- NPI assigned
- Jan 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William L Holzemer, RN PHD FAAN
- Title
- Dean and Professor Rutgers College
- Phone
- (973) 732-6040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
449 Broad St
Newark, NJ 07102-3224
Mailing address
449 Broad St
Newark, NJ 07102-3224
Phone (973) 732-6040
National Provider Directory
National Provider DirectoryLocations
449 Broad St
Newark, NJ 07102
Phone (973) 353-3640
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Philadelphia, PA
- NPI 1295779742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357084800000",
"number": "1639415110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 BROAD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023224",
"telephone_number": "973-732-6040",
"fax_number": "973-353-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 BROAD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023224",
"telephone_number": "973-732-6040",
"fax_number": "973-353-1035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTGERS FOCUS WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A",
"authorized_official_last_name": "HOLZEMER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DEAN AND PROFESSOR RUTGERS COLLEGE",
"authorized_official_telephone_number": "973-732-6040",
"authorized_official_credential": "RN PHD FAAN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
- Candice Russell, APN
- John Russell, MD, MPH
- Meagan Elizabeth Russell, MD
- Federico Ruta, RD
- Thomas C Rutan, RN, APN, C
- Rutgers Health -University Dental Associates
- Rutgers Health Dental Associates Os-NWK
- Rutgers New Jersey Medical School
- Rutgers New Jersey Medical School
- Rutgers Newark Campus Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.