NPIMap

Organization Active NPI

Rutgers Health-RWJ Neurosurgery Faculty

  • Durable Medical Equipment & Medical Supplies
  • Neptune, NJ
National Provider Identifier
1861290744
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY
Practice address
3700 NJ-33
Suite a
Neptune, NJ 07753
Phone
(732) 897-4200
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Ruric (Andy) Clesby Anderson, MDNPI 1205995255
Title
MD
Phone
(973) 322-4804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3700 NJ-33
Suite a
Neptune, NJ 07753

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161

Other names 1

  • Pediatric Orthopedic Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404001779 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4587613443 Practice locations: Neptune, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

629 Cranbury Rd
Ste 102
East Brunswick, NJ 08816
Phone (732) 390-1160

585 Cranbury Rd
Ste 2300
East Brunswick, NJ 08816
Phone (732) 390-1160

200 Wyckoff Rd
Ste 4500
Eatontown, NJ 07724
Phone (732) 235-7960

200 Wyckoff Rd
Ste 1400
Eatontown, NJ 07724
Phone (732) 818-3811

2575 Klockner Rd
Hamilton, NJ 08690
Phone (609) 584-2801

279 3rd Ave
Ste 306
Long Branch, NJ 07740
Phone (732) 235-6813

18 Centre Dr
Ste 100
Monroe, NJ 08831
Phone (732) 235-7766

125 Paterson St
Ste 2200
New Brunswick, NJ 08901
Phone (732) 235-7647

780 Route 37 W
Ste 220
Toms River, NJ 08755
Phone (732) 235-6333

375 Mount Pleasant Ave
Ste 302
West Orange, NJ 07052
Phone (973) 322-6900

Practitioners & affiliated clinicians

Practitioners 343

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

View all 343

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1861290744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NJ-33",
            "address_2": "SUITE A",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-897-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RURIC (ANDY)",
        "authorized_official_middle_name": "CLESBY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-322-4804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Orthopedic Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.