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ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY NPI 1861464968


NPI Information

NPI: 1861464968
Provider Name: ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY

Former Legal Business Name: UMDNJ SOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
42 EAST LAUREL ROAD
UDP, SUITE 1800
STRATFORD, NJ
ZIP 08084
Phone: (856) 566-6843
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ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY is a neurology psychiatry neurology in Stratford, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY NPI is 1861464968. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Umdnj Som Newjersey Institute For Successful Aging-geriatric Neurology.

The provider's business location address is:

42 EAST LAUREL ROAD
UDP, SUITE 1800
STRATFORD, NJ
ZIP 08084
Phone: (856) 566-6843
Fax: (856) 566-6419

The provider's authorized official is Michael Rieker .
The authorized official title is Interim Chief Financial Officier and has the following contact phone number (856) 770-5729.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 5/15/2013.


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 License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

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
1CH6815OTHERNEW JERSEYRAILROAD MEDICARE
2022539MEDICARE PINNEW JERSEY
37850506MEDICAIDNEW 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

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