Active NPI
Robert Wood Johnson Health Network Inc
- Land Ambulance
- New Brunswick, NJ
National Provider Identifier
1811055569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- NTDOH ROBE00500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7420706 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100121000478 | NJ | Part B Supplier - Ambulance Service Supplier | 0345230017 | Practice locations: New Brunswick, NJ |
National Provider Directory
National Provider DirectoryMember 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.
-
- Adult Health Clinical Nurse Specialist
- New Brunswick, NJ
- NPI 1922280486
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.