Rutgers Health-RWJ Scleroderma Program
Organization Active NPI Obstetrics & Gynecology Physician · New Brunswick, NJ
NPI 1790726149 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1790726149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
- Practice address
- 125 Paterson St
Suite 4200
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-6600
- Fax
- (732) 235-6650
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Brenda Lawrence
- Title
- Director of Revenue Cycle
- Phone
- (732) 235-6070
Other NPIs on the same Medicare enrollment 38
Corporate family (same tax ID) 26
Practitioners 20
-
Nicole Demerchant, CNM
-
Vivien Hsu, MD
-
Sugeet Jagpal, M.D.
-
Edward Mosenkis, M.D.
-
Jennifer Lynn Perry, CNM
-
Lindsay Potdevin, M.D.
-
Jacob Sage, MD
-
Kanika Sharma, M.D.
-
Jessica Sanchez, FNP-C
-
Clarel Antoine, MD
-
Dorcas Ceola Morgan, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050502000326 | NJ | Part B Supplier - Clinic/Group Practice | 5193764991 |
Receives reassigned benefits from 667 practitioners 38 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Brunswick, NJ; North Brunswick, NJ; Perth Amboy, NJ; Piscataway, NJ; Somerset, NJ; Somerville, NJ; Toms River, NJ; East Brunswick, NJ… |
National Provider Directory
- Tax ID family
- Rutgers Health - RWJ Clinical Genetics
Locations
1944 Corlies Ave
Ste 203
Neptune, NJ 07753
Phone (732) 776-4755
303 George St
Ste 250
New Brunswick, NJ 08901
Phone (732) 235-7301
1 Rwj Pl
#19
New Brunswick, NJ 08901
Phone (732) 235-7778
125 Paterson St
Ste 4200A
New Brunswick, NJ 08901
466 New Brunswick Ave
#1
Perth Amboy, NJ 08861
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
125 Paterson St
Suite 4200
New Brunswick, NJ 08901-1962
Mailing address
66 West Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051
Other names
- Rutgers Health-RWJ OB/GYN Group
Other providers in New Brunswick, NJ
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
- Rutgers Health-RWJ Scleroderma Program
All providers in New Brunswick, NJ · Obstetrics & Gynecology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.