Rutgers Health-RWJ Neurosurgery Faculty
Organization Active NPI Urology Physician · New Brunswick, NJ
NPI 1710012604 · NPPES record last updated Jan 20, 2021
Key facts
- NPI
- 1710012604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY
- Practice address
- 195 Little Albany St
New Brunswick, NJ 08901-1914 - Phone
- (732) 235-2465
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Brenda Lawrence
- Title
- Director of Revenue Cycle
- Phone
- (732) 235-6070
Other NPIs on the same Medicare enrollment 10
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Practitioners 353
-
Justin William Ady, M.D.
-
Haris Syed Ahmed, M.D.
-
Joseph M. Bibawy, D.O.
-
Deidre Bielicka, MD
-
Nicole Billemeyer, DNP
-
Maria Nicole Black, MSN, APN, FNP-BC
-
John Andrew Bowe Jr., M.D.
-
Merritt Weaver Brown III, M.D.
-
Sabrena Lynn Butcher, APN
-
Jenny Cai, MD
-
Nicole Marie Casper, NURSE PRACTITIONER
-
Rachel Leah Choron, M.D.
-
Sue Anne Corsentino, APN, C
-
Mildred B Cruz, APN
-
Alison Del Duca, APN
-
Jahzeel Hernandez Delos Santos, DNP, RN, AGACNP-BC
-
Kristen Danielle Donohue, M.D.
-
Daniel Feingold, M.D.
-
Marissa Fernandez, DNP
-
Catherine Filippelli, APN
-
Megan Francisco, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050118000611 | NJ | Part B Supplier - Clinic/Group Practice | 4587613443 |
Receives reassigned benefits from 349 practitioners 10 other NPIs on this enrollment Practice locations: Toms River, NJ; New Brunswick, NJ; Newark, NJ; Princeton, NJ; Somerset, NJ; Somerville, NJ; Trenton, NJ; West Orange, NJ… |
National Provider Directory
- Tax ID family
- Rutgers Health-RWJ Neurosurgery Faculty
Locations
1 Robert Wood Johnson Pl
#2200
New Brunswick, NJ 08901
125 Paterson St
#588B
New Brunswick, NJ 08901
210 Somerset St
New Brunswick, NJ 08901
Phone (201) 668-0427
901 Oak Tree Ave
South Plainfield, NJ 07080
Phone (732) 235-7960
67 Route 37 W
Toms River, NJ 08755
Phone (732) 557-3530
68 Highway 37 E
Toms River, NJ 08753
Phone (732) 350-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes | ||
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician |
2088F0040X |
Addresses
Primary practice location
195 Little Albany St
New Brunswick, NJ 08901-1914
Mailing address
66 W Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051
Other practice location 1
125 Paterson St
Suite 4100
New Brunswick, NJ 08901-1962
Phone (732) 235-7776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3195007 | Medicaid | NJ |
Other names
- Rutgers Health-RWJ Surgical Associates
Other providers in New Brunswick, NJ
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Neurosurgery Faculty
- Rutgers Health-RWJ Pediatric Critical Care
- Rutgers Health-RWJ Pediatric Critical Care
All providers in New Brunswick, NJ · Urology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.