NPIMap

Organization Active NPI

Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
National Provider Identifier
1760095806
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
RWJBH OBSERVATION ASSOCIATES LLC
Practice address
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone
(888) 724-7123
NPI assigned
Aug 28, 2020
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Ruric Anderson
Title
Vice President, Support Services
Phone
(732) 369-5994

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Emergency Medicine Physician 207P00000X NU Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Diagnostic Radiology Physician 2085R0202X NU
Hospitalist Physician 208M00000X NU
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU
Adult Health Nurse Practitioner 363LA2200X NU
Critical Care Medicine Nurse Practitioner 363LC0200X NU
Gerontology Nurse Practitioner 363LG0600X NU
Pediatric Nurse Practitioner 363LP0200X NU
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161
Phone (888) 724-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, IL, NC, FL, UT, WA, PA, KY, NY, TX, OH, CA, VA, SC14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
O20201209000008 NJ Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 2,153 practitioners
Practice locations: Westampton, NJ; Trenton, NJ; Toms River, NJ; Somerville, NJ; Somerset, NJ; Rahway, NJ; Palisades Park, NJ; Long Branch, NJ…
O20240102000909 IL Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 4 practitioners
Practice locations: Champaign, IL; Chicago, IL; Lake Forest, IL; South Barrington, IL
O20240104002483 NC Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC; Winston Salem, NC; Sanford, NC
O20240109000277 FL Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 3 practitioners
Practice locations: Davie, FL; Boca Raton, FL; Port Saint Lucie, FL
O20240110002929 UT Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 1 practitioner
Practice locations: Bountiful, UT
O20240110003379 WA Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 1 practitioner
Practice locations: Bremerton, WA
O20240130000009 PA Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 2 practitioners
Practice locations: Ardmore, PA; Clarks Summit, PA; Holland, PA; Plymouth Meeting, PA; Saint Davids, PA
O20240205001120 KY Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY
O20240207001712 NY Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 5 practitioners
Practice locations: Saint James, NY; New York, NY; Long Island City, NY; Kings Point, NY; Howard Beach, NY; Great Neck, NY
O20240213000487 TX Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 7 practitioners
Practice locations: San Marcos, TX; Spring, TX; San Antonio, TX; Frisco, TX; Fort Worth, TX; Carrollton, TX; Allen, TX
O20240213003064 OH Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 2 practitioners
Practice locations: Beavercreek, OH; Westerville, OH
O20240219002566 CA Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 4 practitioners
Practice locations: Beverly Hills, CA; Hanford, CA; Moraga, CA; San Diego, CA; Stockton, CA
O20240307001628 VA Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA
O20241220001497 SC Part B Supplier - Clinic/Group Practice 5193137503 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

553 W 2600 S
Ste 120
Bountiful, UT 84010
Phone (203) 327-1187

Practitioners & affiliated clinicians

Practitioners 2,178

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 2,178

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1760095806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161",
            "telephone_number": "888-724-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "888-724-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWJBH OBSERVATION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RURIC",
        "authorized_official_title_or_position": "VICE PRESIDENT, SUPPORT SERVICES",
        "authorized_official_telephone_number": "732-369-5994"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.