NPIMap

Organization Active NPI

Rutgers Health-RWJ Scleroderma Program

  • Multi-Specialty Clinic/Center
  • New Brunswick, NJ
National Provider Identifier
1942373592
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Practice address
125 Paterson St
Suite 5200a
New Brunswick, NJ 08901-1962
Phone
(732) 235-7217
Fax
(732) 235-6526
NPI assigned
Nov 15, 2006
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Brenda Lawrence
Title
Director of Revenue Cycle
Phone
(732) 235-6070

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

125 Paterson St
Suite 5200a
New Brunswick, NJ 08901-1962

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
6530001MedicaidNJ

Other names 36

  • Rutgers Health - RWJ Allergy Faculty Other name
  • Rutgers Health - RWJ Cancer Institute of New Jersey Other name
  • Rutgers Health - RWJ Cardiology Other name
  • Rutgers Health - RWJ Child Development Other name
  • Rutgers Health - RWJ Dermatology Other name
  • Rutgers Health - RWJ Electrophysiology Other name
  • Rutgers Health - RWJ Endocrinology Other name
  • Rutgers Health - RWJ Gastroenterology Other name
  • Rutgers Health - RWJ Hem Onc Other name
  • Rutgers Health - RWJ Hem/Onc Other name
  • Rutgers Health - RWJ Immunology Other name
  • Rutgers Health - RWJ Maternal Fetal Medicine Other name
  • Rutgers Health - RWJ Neurology Group Other name
  • Rutgers Health - RWJ OB/GYN Group Other name
  • Rutgers Health - RWJ Pain Management Other name
  • Rutgers Health - RWJ Pediatric Adolescent Medicine Other name
  • Rutgers Health - RWJ Pediatric Allergy Immunology Ins Disease Other name
  • Rutgers Health - RWJ Pediatric Cardiology Other name
  • Rutgers Health - RWJ Pediatric Development Other name
  • Rutgers Health - RWJ Pediatric Endocrinology Other name
  • Rutgers Health - RWJ Pediatric G.I. Other name
  • Rutgers Health - RWJ Pediatric Genetics Other name
  • Rutgers Health - RWJ Pediatric Hematology - Oncology Other name
  • Rutgers Health - RWJ Pediatric Metabolism Other name
  • Rutgers Health - RWJ Pediatric Nephrology Other name
  • Rutgers Health - RWJ Pediatric Neurology Other name
  • Rutgers Health - RWJ Pediatric Rheumatology Other name
  • Rutgers Health - RWJ Psychiatric Group Other name
  • Rutgers Health - RWJ Psychiatry Clinic Other name
  • Rutgers Health - RWJ Psychology Other name
  • Rutgers Health - RWJ Pulmonary Other name
  • Rutgers Health - RWJ Radiation Oncology Other name
  • Rutgers Health - RWJ Rheumatology Other name
  • Rutgers Health - RWJ Sports Medcine Other name
  • Rutgers Health - RWJ Surgical Oncology Other name
  • Rutgers Health - RWJ Urogynecology Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000326 NJ Part B Supplier - Clinic/Group Practice 5193764991 Receives reassigned benefits from 667 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Brunswick, NJ; North Brunswick, NJ; Perth Amboy, NJ; Piscataway, NJ; Somerset, NJ; Somerville, NJ; Toms River, NJ; East Brunswick, NJ…

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 38

National Provider Directory

National Provider Directory

Locations

200 Wyckoff Rd
Ste 4300
Eatontown, NJ 07724

1 Robert Wood Johnson Pl
#1B
New Brunswick, NJ 08901

125 Paterson St
Ste 5200A
New Brunswick, NJ 08901
Phone (732) 235-7217

195 Little Albany St
Ste 110
New Brunswick, NJ 08901

195 Little Albany St
Ste 2701
New Brunswick, NJ 08901
Phone (732) 235-2465

210 Somerset St
#14
New Brunswick, NJ 08901

1 Worlds Fair Dr
Ste 2400
Somerset, NJ 08873
Phone (732) 235-7993

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1942373592",
    "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": "125 PATERSON ST",
            "address_2": "SUITE 5200A",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-7217",
            "fax_number": "732-235-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "732-235-6070"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6530001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutgers Health - RWJ Allergy Faculty",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Cancer Institute of New Jersey",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Cardiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Child Development",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Dermatology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Electrophysiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Endocrinology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Gastroenterology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Hem Onc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Hem/Onc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Immunology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Maternal Fetal Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Neurology Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ OB/GYN Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pain Management",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Adolescent Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Allergy Immunology Ins Disease",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Cardiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Development",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Endocrinology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric G.I.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Genetics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Hematology - Oncology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Metabolism",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Nephrology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Neurology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pediatric Rheumatology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Psychiatric Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Psychiatry Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Psychology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Pulmonary",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Radiation Oncology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Rheumatology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Sports Medcine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Surgical Oncology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rutgers Health - RWJ Urogynecology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 29, 2020; 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.