Organization Active NPI

Rutgers Focus Wellness Center

  • Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1639415110
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Jan 2, 2013

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.