NPIMap

Organization Active NPI

Rutgers Health-RWJ Scleroderma Program

  • Psychologist
  • Piscataway, NJ
National Provider Identifier
1700968187
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Practice address
671 Hoes LN
Piscataway, NJ 08854-5627
Phone
(732) 235-4402
Fax
(732) 235-4430
NPI assigned
Oct 19, 2006
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Brenda Susan Lawrence
Title
Director of Revenue Cycle
Phone
(732) 235-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

671 Hoes LN
Piscataway, NJ 08854-5627

Mailing address

66 W Gilbert St
Red Baml, NJ 07701
Phone (732) 212-0051

Other identifiers 1

IdentifierTypeStateIssuer
3456200MedicaidNJ

Other names 1

  • Rutgers Health-RWJ Psychology Other name

National Provider Directory

National Provider Directory
Tax ID family
Rutgers Health - RWJ Clinical Genetics27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

100 Metroplex Dr
#104
Edison, NJ 08817
Phone (609) 655-5175

125 Paterson St
#2200
New Brunswick, NJ 08901
Phone (732) 235-7647

667 Hoes Ln W
#104
Piscataway, NJ 08854
Phone (609) 655-5175

675 Hoes Ln W
#104
Piscataway, NJ 08854
Phone (609) 655-5175

675 Hoes Ln W
Ste 104
Piscataway, NJ 08854
Phone (609) 655-5175

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1700968187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "city": "RED BAML",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HOES LN",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545627",
            "telephone_number": "732-235-4402",
            "fax_number": "732-235-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "732-235-6070"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3456200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers Health-RWJ Psychology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.