NPIMap

Organization Active NPI

Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
National Provider Identifier
1770569832
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11203 Issued in NJ
Legal business name
RARITAN BAY MEDICAL CENTER
Practice address
530 New Brunswick Ave
Perth Amboy, NJ 08861-3674
Phone
(732) 442-3700
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mr. Michael R D'Agnes
Title
President Ceo
Phone
(732) 442-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11203 NJ Primary

Addresses

Primary practice location

530 New Brunswick Ave
Perth Amboy, NJ 08861-3674

Mailing address

530 New Brunswick Ave
Perth Amboy, NJ 08861-3674
Phone (732) 442-3700

Other identifiers 1

IdentifierTypeStateIssuer
4137809MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1770569832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613674",
            "telephone_number": "732-442-3700",
            "fax_number": "732-324-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613674",
            "telephone_number": "732-442-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN BAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "D'AGNES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "732-442-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "11203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4137809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.