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RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NPI 1710012604


NPI Information

NPI: 1710012604
Provider Name: RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY

Other Name: RUTGERS HEALTH-RWJ SURGICAL ASSOCIATES

Classification: Urology - 208800000X
Entity Type: Organization
Address:
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-2465
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RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY is an urology in New Brunswick, NJ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NPI is 1710012604. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Rutgers Health-rwj Surgical Associates.

The provider's business location address is:

195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ
ZIP 08901-914
Phone: (732) 235-2465

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 2/22/2007 and was last updated on 1/20/2021.


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
12088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryNo
2208800000XUrologyYes

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
13195007MEDICAIDNEW 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

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