Provider Type Icon

RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NPI 1164510400


NPI Information

NPI: 1164510400
Provider Name: RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-7900
Get Directions

RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE is a pediatric critical care medicine pediatrics in New Brunswick, NJ. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NPI is 1164510400. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ
ZIP 08901-928
Phone: (732) 235-7900
Fax: (732) 235-9340

The provider's authorized official is Nancy D Brady .
The authorized official title is Sr Director Of Revenue Cycle and has the following contact phone number (732) 235-6066.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 11/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16306900MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.