Organization Active NPI

Umdnj RWJ Reproductive Endocrinology

  • Maternal & Fetal Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1801968425
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
UMDNJ RWJ REPRODUCTIVE ENDOCRINOLOGY
Practice address
303 George St
Suite 250
New Brunswick, NJ 08901-2020
Phone
(732) 235-7301
Fax
(732) 235-7318
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Carole Penzynski
Title
Credentialing Manager
Phone
(732) 212-0061

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X Primary

Addresses

NPPES NPI Registry

Primary practice location

303 George St
Suite 250
New Brunswick, NJ 08901-2020

Mailing address

66 W Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8468702MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2008.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1801968425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GEORGE ST",
            "address_2": "SUITE 250",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012020",
            "telephone_number": "732-235-7301",
            "fax_number": "732-235-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ RWJ REPRODUCTIVE ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "PENZYNSKI",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "732-212-0061"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8468702",
            "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 Jan 24, 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.