Active NPI
Robert Rush, PHD
- Clinical Medical Laboratory
- Neptune, NJ
National Provider Identifier
1972920650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 25MS00003800T
- Practice address
- 1900 Corlies Ave
First Floor
Neptune, NJ 07753-4800 - Phone
- (201) 522-3205
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 25MS00003800T | NJ | Primary |
Addresses
Primary practice location
1900 Corlies Ave
First Floor
Neptune, NJ 07753-4800
Mailing address
1900 Corlies Ave
First Floor
Neptune, NJ 07753-4800
Phone (201) 522-3205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MS00003800T | NJ | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1972920650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CORLIES AVE",
"address_2": "FIRST FLOOR",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534800",
"telephone_number": "201-522-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CORLIES AVE",
"address_2": "FIRST FLOOR",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534800",
"telephone_number": "201-522-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NJ",
"license": "25MS00003800T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.