Active NPI
Rutgers RWJ Eric B. Chandler Health Center
- Community Health Clinic/Center
- New Brunswick, NJ
National Provider Identifier
1790930816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 22211
- Legal business name
- RUTGERS RWJ ERIC B. CHANDLER HEALTH CENTER
- Practice address
- 277 George St
New Brunswick, NJ 08901-1311 - Phone
- (732) 235-6700
- Fax
- (732) 235-6726
- NPI assigned
- Nov 18, 2008
- Last updated
- Jul 2, 2013
- Organization subpart
- Yes
- Parent organization
- RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Adams
- Title
- Interim Executive Director
- Phone
- (732) 235-6756
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 22211 | NJ | Primary |
Addresses
Primary practice location
277 George St
New Brunswick, NJ 08901-1311
Mailing address
277 George St
New Brunswick, NJ 08901-1311
Phone (732) 235-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0043419 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Rutgers RWJ Eric B Chandler
- Part of
- Robert Wood Johnson Medical School
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- New Brunswick, NJ
- NPI 1538416342
-
- Federally Qualified Health Center (FQHC)
- New Brunswick, NJ
- NPI 1851330815
Locations
1945 Corlies Ave
Ste 203
Neptune, NJ 07753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372723200000",
"number": "1790930816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 GEORGE ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011311",
"telephone_number": "732-235-6700",
"fax_number": "732-235-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 GEORGE ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011311",
"telephone_number": "732-235-6700",
"fax_number": "732-235-6726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTGERS RWJ ERIC B. CHANDLER HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUTGERS THE STATE UNIVERSITY OF NEW JERSEY",
"enumeration_date": "2008-11-18",
"last_updated": "2013-07-02",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "732-235-6756"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NJ",
"license": "22211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0043419",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
- Rutgers Robert Wood Johnson Medical School
- Rutgers Robert Wood Johnson Medical School
- Rutgers Robert Wood Johnson Medical School - Rutgers
- Rutgers RWJ Eric B. Chandler Health Center
- Rutgers RWJ Eric B. Chandler Health Center
- Rutgers RWJ Eric B. Chandler Health Center
- Rutgers University Dental Associates-New Brunswick
- Rutgers-RWJ Travel Program
- Rutgers-Rwjuh
- Rutgers, That State University of New Jersey (Rutgers Counseling & Psychological Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.