ROWANSOM NMI HEADACHE NPI 1194796425

NPI Information

  • NPI: 1194796425
  • Provider Name: ROWANSOM NMI HEADACHE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: UMDNJ-SOM UNIVERSITY HEADACHE CENTER
  • Address: 42 E LAUREL RD
    UDP #1700
    STRATFORD, NJ
    ZIP 08084
  • Phone: (856) 566-7010

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NPI Details

ROWANSOM NMI HEADACHE is a family medicine in Stratford, 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. ROWANSOM NMI HEADACHE NPI is 1194796425. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Umdnj-som University Headache Center.

The provider's business location address is:

42 E LAUREL RD
UDP #1700
STRATFORD, NJ
ZIP 08084-354
Phone: (856) 566-7010
Fax: (856) 566-6956

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 1/26/2006 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
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16946208MEDICAIDNEW JERSEY
2CK0275OTHERNEW JERSEYRAILROAD MEDICARE GROUP
3718180MEDICARE PINNEW 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: 11/21/2025

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