NPIMap

Organization Active NPI

Rutgers, the State University of New Jersey

Doing business as Rutgers University Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Piscataway, NJ
National Provider Identifier
1710117437
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Doing business as
Rutgers University Sports Medicine
Practice address
1 Scarlet Knight Way
Piscataway, NJ 08854-8069
Phone
(732) 445-6258
Fax
(732) 445-2780
NPI assigned
Jul 15, 2009
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Melanie Jeitner
Title
Athletic Insurance Coordinator
Phone
(732) 445-6258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

1 Scarlet Knight Way
Piscataway, NJ 08854-8069

Mailing address

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

Other names 1

  • Rutgers University Sports Medicine Doing business as

National Provider Directory

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

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1710117437",
    "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": "325-437-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCARLET KNIGHT WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548069",
            "telephone_number": "732-445-6258",
            "fax_number": "732-445-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "JEITNER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ATHLETIC INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "732-445-6258"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers University Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2009; 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.