NPIMap

Organization Active NPI

Rutgers, the State University

  • Psychiatry Physician
  • New Brunswick, NJ
National Provider Identifier
1750107298
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RUTGERS, THE STATE UNIVERSITY
Practice address
11 Bishop PL
New Brunswick, NJ 08901-1178
Phone
(848) 932-7402
NPI assigned
Dec 2, 2024
Organization subpart
Yes
Parent organization
RUTGERS, THE STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Noa'a Shimoni, MD MPHNPI 1144433921
Title
Associate Vice Chancellor, Health
Phone
(848) 932-7402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

11 Bishop PL
New Brunswick, NJ 08901-1178

Mailing address

11 Bishop PL
New Brunswick, NJ 08901-1178
Phone (848) 932-7402

Other names 1

  • Rutgers Student Health - NB - CAPS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rutgers the State University2 organizations share this tax ID, including this one
Part of
Rutgers the State University

Other organizations with this tax ID 1

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

Locations

17 Senior St
New Brunswick, NJ 08901
Phone (732) 932-7884

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.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1750107298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "848-932-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "848-932-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS, THE STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTGERS, THE STATE UNIVERSITY",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "SHIMONI",
        "authorized_official_first_name": "NOA'A",
        "authorized_official_title_or_position": "ASSOCIATE VICE CHANCELLOR, HEALTH",
        "authorized_official_telephone_number": "848-932-7402",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers Student Health - NB - CAPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.