NPIMap

Organization Active NPI

Rutgers, That State University of New Jersey

Doing business as Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab

  • Clinical Medical Laboratory
  • Newark, NJ
National Provider Identifier
1699365445
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Doing business as
Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab
Practice address
225 Warren Street
RBL 2140
Newark, NJ 07103
Phone
(973) 972-3170
Fax
(973) 972-0795
NPI assigned
Jan 25, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Deanna Streck
Title
Laboratory Supervisor
Phone
(973) 972-3170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Medical Genetics) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SM0001X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

225 Warren Street
RBL 2140
Newark, NJ 07103

Mailing address

185 S Orange Ave # Msbf656
Newark, NJ 07103-2757
Phone (973) 972-3170

Other identifiers 1

IdentifierTypeStateIssuer
31D2184476OtherNJCLIA

Other names 1

  • Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diagnostics@njms.rutgers.edu Direct

National Provider Directory

National Provider Directory
Tax ID family
Robert Wood Johnson Medical School17 organizations share this tax ID, including this one
Part of
Robert Wood Johnson Medical School

Other organizations with this tax ID 16

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

View all 16

Locations

225 Warren St
#2140
Newark, NJ 07103
Phone (973) 972-3170

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1699365445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S ORANGE AVE # MSBF656",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032757",
            "telephone_number": "973-972-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WARREN STREET",
            "address_2": "RBL 2140",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-3170",
            "fax_number": "973-972-0795"
        }
    ],
    "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": "2021-01-25",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "STRECK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "LABORATORY SUPERVISOR",
        "authorized_official_telephone_number": "973-972-3170"
    },
    "taxonomies": [
        {
            "code": "207SM0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "31D2184476",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diagnostics@njms.rutgers.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "225 Warren Street",
            "address_2": "RBL 2140",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 2021; 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.