NPIMap

Organization Active NPI

Robert Wood Johnson University Hospital

  • Family Medicine Physician
  • Somerville, NJ
National Provider Identifier
1992118137
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11802 Issued in NJ
Legal business name
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
Practice address
110 Rehill Ave
Attention: Somerset Family Practice
Somerville, NJ 08876-2519
Phone
(908) 685-2900
Fax
(908) 704-0083
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Mr. Brian M. Reilly
Title
Sr VP Finance & Cfo
Phone
(732) 418-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 11802 NJ Primary

Addresses

Primary practice location

110 Rehill Ave
Attention: Somerset Family Practice
Somerville, NJ 08876-2519

Mailing address

110 Rehill Ave
Administrative Office, Attention: Cfo
Somerville, NJ 08876-2519
Phone (732) 937-8537

Other names 1

  • Robert Wood Johnson University Hospital Somerset Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert Wood Johnson University Hospital Dental Suite6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1992118137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REHILL AVE",
            "address_2": "ADMINISTRATIVE OFFICE, ATTENTION: CFO",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762519",
            "telephone_number": "732-937-8537",
            "fax_number": "732-937-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REHILL AVE",
            "address_2": "ATTENTION: SOMERSET FAMILY PRACTICE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762519",
            "telephone_number": "908-685-2900",
            "fax_number": "908-704-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SR VP FINANCE & CFO",
        "authorized_official_telephone_number": "732-418-8346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "11802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Wood Johnson University Hospital Somerset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, NJ

Sources for this page

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

Verify at the official NPI Registry.