Active NPI
Rowansom Dept of Psychiatry
- Psychiatry Physician
- Cherry Hill, NJ
National Provider Identifier
1689644122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ROWANSOM DEPT OF PSYCHIATRY
- Practice address
- 2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051 - Phone
- (856) 482-9000
- Fax
- (856) 482-1159
- NPI assigned
- Jan 26, 2006
- 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
- Michael Rieker
- Title
- Chief Financial Officer
- Phone
- (856) 770-5729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Mailing address
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Phone (856) 482-9000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1044766 | Other | NJ | CIGNA GRP |
| 3118207 | Medicaid | NJ | |
| 0099409000 | Other | NJ | AMERIHEALTH GRP |
| 8421390 | Other | NJ | AETNA GRP |
| CA8142 | Other | NJ | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
100 Century Pkwy
Ste 140
Mount Laurel, NJ 08054
Phone (856) 380-2400
1474 Tanyard Rd
Ste A100
Sewell, NJ 08080
Phone (856) 566-7010
42 E Laurel Rd
Ste 3610
Stratford, NJ 08084
Phone (856) 482-9000
40 E Laurel Rd
Ste 200
Stratford, NJ 08084
Phone (856) 566-6035
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Stratford, NJ
- NPI 1962472282
-
- Psychiatry Physician
- Neptune, NJ
- NPI 1447343678
-
- Psychiatry Physician
- Stratford, NJ
- NPI 1407829096
-
- Psychiatry Physician
- Stratford, NJ
- NPI 1366416901
-
- Child & Adolescent Psychiatry Physician
- Flushing, NY
- NPI 1770555187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458518400000",
"number": "1689644122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROWANSOM DEPT OF PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2016-03-21",
"status": "A",
"authorized_official_last_name": "RIEKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "856-770-5729"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GRP",
"identifier": "1044766",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3118207",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH GRP",
"identifier": "0099409000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GRP",
"identifier": "8421390",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CA8142",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.