Provider Type Icon

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NPI 1689756074


NPI Information

NPI: 1689756074
Provider Name: RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

Other Name: RUTGERS HEALTH-RWJ PEDIATRIC DEVELOPMENT

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
89 FRENCH ST FL 2
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-6230
Get Directions

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM is a developmental - behavioral pediatrics pediatrics in New Brunswick, NJ. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NPI is 1689756074. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Rutgers Health-rwj Pediatric Development.

The provider's business location address is:

89 FRENCH ST FL 2
NEW BRUNSWICK, NJ
ZIP 08901-935
Phone: (732) 235-6230
Fax: (732) 235-8766

The provider's authorized official is Brenda Lawrence .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (732) 235-6070.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 1/19/2021.


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
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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
15286409MEDICAIDNEW 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.