NPIMap

Organization Active NPI

Rowansom Dept of Surgery

  • Surgery Physician
  • Stratford, NJ
National Provider Identifier
1952371494
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ROWANSOM DEPT OF SURGERY
Practice address
42 E Laurel Rd
Udp, Suite 2500
Stratford, NJ 08084-1354
Phone
(856) 566-2700
Fax
(856) 566-6873
NPI assigned
Jan 26, 2006
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 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 Officier
Phone
(856) 770-5729

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary
Surgical Oncology Physician 2086X0206X

Addresses

Primary practice location

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

Mailing address

PO Box 635
Bellmawr, NJ 08099-0635
Phone (856) 566-6706

Other identifiers 2

IdentifierTypeStateIssuer
3155803MedicaidNJ
CB0808OtherNJRAILROAD MEDICARE

Other names 1

  • UMDNJ-SOM Dept of Surgery Former legal business name

National Provider Directory

National Provider Directory

Locations

100 Kings Way E
Ste B5
Sewell, NJ 08080
Phone (856) 582-6700

445 Hurffville Crosskeys Rd
Ste A3
Sewell, NJ 08080
Phone (856) 256-9200

570 Egg Harbor Rd
Ste C2
Sewell, NJ 08080
Phone (856) 218-0300

1000 White Horse Rd
Ste 703
Voorhees, NJ 08043
Phone (856) 309-9777

900 Centennial Blvd
Ste M2
Voorhees, NJ 08043
Phone (856) 325-6750

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1952371494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080990635",
            "telephone_number": "856-566-6706",
            "fax_number": "856-566-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "UDP, SUITE 2500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-2700",
            "fax_number": "856-566-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM DEPT OF SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "856-770-5729"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3155803",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB0808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMDNJ-SOM Dept of Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 15, 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.