NPIMap

Organization Active NPI

Rutgers, That State University of New Jersey

  • Psychiatry Physician
  • New Brunswick, NJ
National Provider Identifier
1679880983
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Practice address
17 Senior St
New Brunswick, NJ 08901-8534
Phone
(732) 932-7884
Fax
(732) 932-8278
NPI assigned
Sep 8, 2010
Organization subpart
Yes
Parent organization
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Melodee Lasky, MD
Title
Director, Health SVC
Phone
(732) 932-7402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

17 Senior St
New Brunswick, NJ 08901-8534

Mailing address

PO Box 168007
Irving, TX 75016-8007
Phone (866) 890-6390

Other names 1

  • Rutgers Counseling & Psychological Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rutgers the State Univ17 organizations share this tax ID, including this one
Part of
Rutgers the State Univ

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1679880983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168007",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750168007",
            "telephone_number": "866-890-6390",
            "fax_number": "469-735-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SENIOR ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089018534",
            "telephone_number": "732-932-7884",
            "fax_number": "732-932-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "LASKY",
        "authorized_official_first_name": "MELODEE",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SVC",
        "authorized_official_telephone_number": "732-932-7402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers Counseling & Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.