NPIMap

Organization Active NPI

Rowansom Dept of Obstetrics Gynecology

  • Obstetrics & Gynecology Physician
  • Stratford, NJ
National Provider Identifier
1891765053
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ROWANSOM DEPT OF OBSTETRICS GYNECOLOGY
Practice address
42 E Laurel Rd
Suite 2500
Stratford, NJ 08084-1354
Phone
(856) 566-7090
Fax
(856) 566-6026
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Michael Rieker
Title
Interim Chief Financial Officer
Phone
(856) 770-5729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

42 E Laurel Rd
Suite 2500
Stratford, NJ 08084-1354

Mailing address

42 E Laurel Rd
Suite 2500
Stratford, NJ 08084-1354
Phone (856) 566-7090

Other identifiers 5

IdentifierTypeStateIssuer
3159400MedicaidNJ
CA4092OtherNJRR MEDICARE
0220686000OtherNJAMERIHEALTH
2402381000OtherNJAMERIHEALTH-MED LEVEL
30898OtherNJAETNA

National Provider Directory

National Provider Directory

Locations

405 Hurffville Crosskeys Rd
Ste 211
Sewell, NJ 08080

42 E Laurel Rd
Ste 2545
Stratford, NJ 08084
Phone (856) 566-2710

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1891765053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "SUITE 2500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7090",
            "fax_number": "856-566-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "SUITE 2500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7090",
            "fax_number": "856-566-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM DEPT OF OBSTETRICS GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-770-5729"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3159400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA4092",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0220686000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH-MED LEVEL",
            "identifier": "2402381000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "30898",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.