Organization Active NPI

Rutgers RWJ Eric B. Chandler Health Center

  • Community Health Clinic/Center
  • New Brunswick, NJ
National Provider Identifier
1790930816
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
22211 Issued in NJ
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
RUTGERS THE STATE UNIVERSITY OF NEW JERSEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0043419MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Rutgers RWJ Eric B Chandler3 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.