ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE NPI 1245587922

NPI Information

NPI: 1245587922
Provider Name: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D1039180

Address:
3 EXECUTIVE DRIVE
SUITE 400
SOMERSET, NJ
ZIP 08873
Phone: (732) 369-5994
Get Directions

ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE is a family medicine in Somerset, NJ. The provider is 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. ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE NPI is 1245587922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 EXECUTIVE DRIVE
SUITE 400
SOMERSET, NJ
ZIP 08873
Phone: (732) 369-5994
Fax: (732) 369-5993

The provider's authorized official is Joshua Bershad .
The authorized official title is President & Ceo and has the following contact phone number (732) 369-5994.

The CLIA number assigned to this NPI record is 31D1039180 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2012 and was last updated on 5/8/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207V00000X	Obstetrics & Gynecology		No
3	261QU0200X	Clinic/Center	Urgent Care	No
4	367A00000X	Advanced Practice Midwife		No
5	363L00000X	Nurse Practitioner		No
6	363A00000X	Physician Assistant		No
7	207QS0010X	Family Medicine	Sports Medicine	No
8	207RC0000X	Internal Medicine	Cardiovascular Disease	No
9	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
10	207RC0200X	Internal Medicine	Critical Care Medicine	No
11	207RG0100X	Internal Medicine	Gastroenterology	No
12	207RG0300X	Internal Medicine	Geriatric Medicine	No
13	207RP1001X	Internal Medicine	Pulmonary Disease	No
14	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
15	207Q00000X	Family Medicine		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	258450	MEDICARE PIN	NEW JERSEY
2	0319392	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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