Organization Active NPI

Rutgers New Jersey Medical School

  • General Acute Care Hospital
  • Newark, NJ
National Provider Identifier
1720406200
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
25MA04208500 Issued in NJ
Legal business name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Practice address
185 S Orange Ave
Newark, NJ 07103-2757
Phone
(973) 972-5714
Fax
(973) 972-5724
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
RUTGERS NEW JERSEY MEDICAL SCHOOLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Stephen Roger Peters, MD
Title
Director of Surgical Pathology
Phone
(973) 972-5714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 25MA04208500 NJ Primary

Addresses

Primary practice location

185 S Orange Ave
Newark, NJ 07103-2757

Mailing address

185 S Orange Ave
Newark, NJ 07103-2757
Phone (973) 972-5714

Other names 1

  • University Hospital Other name

National Provider Directory

National Provider Directory
Part of
Bhupendra V Patel MD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1720406200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032757",
            "telephone_number": "973-972-5714",
            "fax_number": "973-972-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032757",
            "telephone_number": "973-972-5714",
            "fax_number": "973-972-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS NEW JERSEY MEDICAL SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTGERS NEW JERSEY MEDICAL SCHOOL",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "DIRECTOR OF SURGICAL PATHOLOGY",
        "authorized_official_telephone_number": "973-972-5714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "25MA04208500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 2, 2014; 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.