Organization Active NPI

Robert Wood Johnson Health Network Inc

  • Land Ambulance
  • New Brunswick, NJ
National Provider Identifier
1811055569
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
NTDOH ROBE00500 Issued in NJ
Legal business name
ROBERT WOOD JOHNSON HEALTH NETWORK INC
Practice address
Patterson St
New Brunswick, NJ 08903
Phone
(732) 418-8055
Fax
(732) 418-8058
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Mr. Michael Antoniades
Title
Vice President
Phone
(732) 937-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NTDOH ROBE00500 NJ Primary

Addresses

Primary practice location

Patterson St
New Brunswick, NJ 08903

Mailing address

PO Box 2601
New Brunswick, NJ 08903
Phone (732) 418-8055

Other identifiers 1

IdentifierTypeStateIssuer
7420706MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000478 NJ Part B Supplier - Ambulance Service Supplier 0345230017 Practice locations: New Brunswick, NJ

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

126 Paterson St
New Brunswick, NJ 08901
Phone (732) 418-8226

2 Crescent Pl
Oceanport, NJ 07757

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1811055569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2601",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08903",
            "telephone_number": "732-418-8055",
            "fax_number": "732-418-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PATTERSON ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08903",
            "telephone_number": "732-418-8055",
            "fax_number": "732-418-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WOOD JOHNSON HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "ANTONIADES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-937-8525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "NTDOH ROBE00500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7420706",
            "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 Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.