RUTGERS, THE STATE UNIV (NPI# 1801966023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801966023 |
| Entity Type | Organization |
| Organization Name | RUTGERS, THE STATE UNIV |
| Other Organization Name | RUTGERS HEALTH CENTER PHARMACY |
| Practice Address |
11 Bishop Pl New Brunswick NJ 08901-1178 |
| Mailing Address |
65 Davidson Rd Piscataway NJ 08854 |
| Practice Telephone | 7329328033 |
| Practice Fax Number | 7329328641 |
| Mailing Telephone | 7324452054 |
| Mailing Fax Number | 7324455922 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-08-06 |
| NPI Deactivation Date | 06/03/2008 |
| NPI Reactivation Date | 2008-08-05 |
| Authorized Official Name | JOHN HARABEDIAN (TAX DIRECTOR) |
| Authorized Official Telephone | 7324452054 |
| Authorized Official Credential | CPR MS-TRX |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
28RS00234700 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3121162 | 01 |
| Other Name | Type Code |
|---|---|
| Rutgers Health Center Pharmacy | Other Name - Individual/Organization |
| 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 |
| 1619115086 | Rutgers, The State University of New Jersey | Family Medicine | 11 Bishop Pl, New Brunswick, NJ 08901-1178 | 2009-01-23 |
| 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 |
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386152858 | Sidon LLC | Pharmacy | 901 Summit Ave, Union City, NJ 07087-5530 | 2018-01-17 |
| 1679092381 | Memorial Sloan-kettering Cancer Center | Pharmacy | 136 Mountainview Blvd Ste 171, Basking Ridge, NJ 07920-3444 | 2017-09-13 |
| 1568801058 | El Shaddai Pharmacy | Pharmacy | 18 Bloomfield Ave, Newark, NJ 07104-2502 | 2013-06-18 |
| 1174663538 | Village Super Market of Nj, L.p. | Pharmacy | 178 E Hanover Ave, Cedar Knolls, NJ 07927 | 2007-02-07 |
| 1255499372 | Robert Wood Johnson University Hospital At Hamilton | Pharmacy | 5 Hamiton Health Place, Hamiton, NJ 08690 | 2006-12-04 |
| 1508953704 | Woodbine Pharmacy Inc | Pharmacy | 621 Dehirsch Ave, Woodbine, NJ 08270-2338 | 2006-10-07 |
| 1245245893 | Bejay Pharmacy Inc | Pharmacy | 450 Boulevard, Hasbrouck Heights, NJ 07604-1518 | 2006-07-30 |
| 1851842769 | Ocean Health Initiatives Inc | Pharmacy | 798 County Road 539, Building #3, Little Egg Harbor, NJ 08087-4203 | 2016-10-17 |
| 1083006886 | Professional Pain Management Dispensary | Pharmacy | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2015-03-03 |
| 1376821041 | Talkers LLC | Pharmacy | 515 E Landis Ave, Vineland, NJ 08360-8003 | 2011-07-29 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.