RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY (NPI# 1619115086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619115086 |
| Entity Type | Organization |
| Organization Name | RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY |
| Other Organization Name | RUTGERS HEALTH SERVICES |
| Practice Address |
11 Bishop Pl New Brunswick NJ 08901-1178 |
| Mailing Address |
Po Box 5199 Abilene TX 79608-5199 |
| Practice Telephone | 7329327402 |
| Practice Fax Number | 7329328255 |
| Mailing Telephone | 3254378300 |
| Mailing Fax Number | 3254378390 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | MELODEE LASKY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7329327402 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA07568400 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rutgers Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234686 | Rutgers, The State University of New Jersey | Clinical Medical Laboratory | 604 Allison Rd, Piscataway, NJ 08854-8000 | 2020-04-23 |
| 1538582432 | Rutgers, The State University of New Jersey | Community/Behavioral Health | 151 Ryders Lane, New Brunswick, NJ 08901 | 2014-01-28 |
| 1952449399 | Rutgers, The State University of New Jersey | Ambulance | 55 Commercial Ave, New Brunswick, NJ 08901-2786 | 2007-02-01 |
| 1548506686 | Rutgers, The State University of New Jersey | Clinic/Center | 249 University Ave, Blumenthal Hall, Room 104, Newark, NJ 07102-1808 | 2012-12-18 |
| 1710117437 | Rutgers, The State University of New Jersey | Family Medicine | 1 Scarlet Knight Way, Piscataway, NJ 08854-8069 | 2009-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY | 83 Somerset St, New Brunswick, NJ 08901-1281 |
| Street Address |
11 BISHOP PL |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811910607 | Karen M Ingram | Pediatrics | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2006-07-25 |
| 1538531157 | Rutgers, The State University | Family Medicine | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2015-10-22 |
| 1558738757 | Jenna M Moran | Nurse Practitioner | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2015-08-24 |
| 1821358565 | Alicia Nicole Kenton | Pediatrics | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2012-05-28 |
| 1831352665 | Kathleen Anne Gaioni | Internal Medicine | 11 Bishop Pl, Hurtado Health Center, New Brunswick, NJ 08901-1178 | 2008-07-02 |
| 1497912315 | Angela Gupta | Internal Medicine | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2008-05-19 |
| 1801966023 | Rutgers, The State Univ | Pharmacy | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2006-11-08 |
| 1851481477 | Deborah Anne Johnson | Family Medicine | 11 Bishop Pl, Hurtado Student Health Center, New Brunswick, NJ 08901-1178 | 2006-10-13 |
| 1710074158 | Irene Gabrial | Psychiatry & Neurology | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2006-10-06 |
| 1902918436 | Joan E Raike | Nurse Practitioner | 11 Bishop Pl, New Brunswick, NJ 08901-1180 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477900330 | Ozcan Uzun | Family Medicine | 76 Livingston Ave Ste 1, New Brunswick, NJ 08901-2575 | 2016-05-20 |
| 1407127343 | Rory Alexander Ulloque | Family Medicine | 1 Rwj Place - Meb 254, New Brunswick, NJ 08901-2008 | 2012-01-24 |
| 1487925509 | Marissa Stabile | Family Medicine | 317 George Street, New Brunswick, NJ 08901 | 2012-01-20 |
| 1437387586 | Jessy Joykutty Thomas | Family Medicine | 205 Easton Ave Ste 2, New Brunswick, NJ 08901-4410 | 2009-06-28 |
| 1528209855 | Middlesex Medical & Rehabilitation Group, PC | Family Medicine | 207 Livingston Ave, New Brunswick, NJ 08901-2933 | 2009-03-17 |
| 1396963401 | Carla Grace Botti | Family Medicine | 1 J&j Plz Rm Wh5g32, New Brunswick, NJ 08933-0001 | 2007-04-23 |
| 1225107576 | Siriade Filipe-izaguirre | Family Medicine | 24 Abeel St, New Brunswick, NJ 08901-1303 | 2006-11-08 |
| 1154307106 | Alexis Bolivar Troncoso | Family Medicine | 137 Livingston Ave, New Brunswick, NJ 08901-2420 | 2005-12-21 |
| 1679554059 | Shirley Yung | Family Medicine | 277 George St, Eric B. Chandler Health Clinic, New Brunswick, NJ 08901-1311 | 2005-11-10 |
| 1558357996 | Elizabeth C Clark | Family Medicine | 317 George St, Rwj University Medical Group, New Brunswick, NJ 08901-2008 | 2005-09-21 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
Please comment or provide details below to improve the information on RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY.
| 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.