RUTGERS PHARMACY NEWARK (NPI# 1124167580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124167580 |
| Entity Type | Organization |
| Organization Name | RUTGERS PHARMACY NEWARK |
| Practice Address |
249 University Ave Newark NJ 07102-1808 |
| Practice Telephone | 9733535201 |
| Practice Fax Number | 9733531390 |
| Mailing Telephone | 9733535201 |
| Mailing Fax Number | 9733531390 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSE DEVASSY PULLOCKARAN (CHIEF PHARMACIST) |
| Authorized Official Telephone | 9733535201 |
| Authorized Official Credential | PH.D., R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
28RS00306800 | NJ | Ambulatory Health Care Facilities |
| Street Address |
249 UNIVERSITY AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740396514 | Erin Carducci | Pharmacist | 249 University Ave, Newark, NJ 07102-1808 | 2006-08-22 |
| 1487193504 | Rutgers University | Community/Behavioral Health | 249 University Ave, Newark, NJ 07102-1808 | 2017-02-22 |
| 1104236132 | David Gay | Student in an Organized Health Care Education/Training Program | 249 University Ave, Newark, NJ 07102-1808 | 2014-04-29 |
| 1548506686 | Rutgers, The State University of New Jersey | Clinic/Center | 249 University Ave, Blumenthal Hall, Room 104, Newark, NJ 07102-1808 | 2012-12-18 |
| 1366604308 | Lynne S Logatto | Nurse Practitioner | 249 University Ave, Rutgers University Health Service, Newark, NJ 07102-1896 | 2008-07-01 |
| 1891969374 | Evelyn Tashjian Ambrose | Clinical Nurse Specialist | 249 University Ave, Rutgers University Health Services Rm 104, Newark, NJ 07102-1808 | 2008-04-16 |
| 1912178534 | Christopher M Wainman | Psychologist | 249 University Ave, Room 101, Newark, NJ 07102-1808 | 2008-03-23 |
| 1689799892 | Jose Devassy Pullockaran | Pharmacist | 249 University Ave, Room 104, Newark, NJ 07102-1808 | 2007-03-20 |
| 1801929286 | Luisito Garcia De Jesus | Internal Medicine | 249 University Ave, Rm 104, Newark, NJ 07102-1808 | 2007-03-14 |
| 1336240910 | Rutgers Newark Campus Pharmacy | Pharmacy | 249 University Ave, Room 104, Newark, NJ 07102-1808 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548506686 | Rutgers, The State University of New Jersey | Clinic/Center | 249 University Ave, Blumenthal Hall, Room 104, Newark, NJ 07102-1808 | 2012-12-18 |
| 1063555605 | University of Delaware Student Health Service | Clinic/Center | 282 The Green, University of Delaware, Newark, DE 19716-8101 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447710751 | F.s. Transportation Inc. | Clinic/Center | 28 Bloomfield Ave Ste 100, Pine Brook, NJ 07058-9903 | 2019-03-22 |
| 1720325038 | Englewood Hospital and Medical Center | Clinic/Center | 276 Engle St Apt 9b, Englewood, NJ 07631-2431 | 2013-01-07 |
| 1497979132 | Montclair State University Health Center | Clinic/Center | One Normal Ave, Montclair State University Health Center, Montclair, NJ 07043 | 2007-04-12 |
| 1912534983 | Zachary Raphael Teibel | Clinic/Center | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| 1578198768 | Connor Magura | Clinic/Center | 2015 Pacific Ave, Atlantic City, NJ 08401-6726 | 2020-03-08 |
| 1669019527 | Shalet M Jefferson | Clinic/Center | 101 Route 130 S, Cinnaminson, NJ 08077-2845 | 2019-12-10 |
| 1447815071 | Ghulam Sajjad Khan | Clinic/Center | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2019-05-09 |
| 1114483450 | Kathryn Osborne | Clinic/Center | 3633 Hill Rd, Parsippany, NJ 07054-1000 | 2019-02-12 |
| 1366836462 | Drew University Health Service | Clinic/Center | 36 Madison Ave, Drew University Health Service, Madison, NJ 07940 | 2015-03-26 |
| 1659701613 | Rider University | Clinic/Center | 2083 Lawrenceville Rd, Lawrenceville, NJ 08648-3001 | 2013-11-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.