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RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NPI 1366487183


NPI Information

NPI: 1366487183
Provider Name: RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

Other Name: RUTGERS HEALTH-RWJ NEUROLOGY GROUP

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

Specialization: Neurology

Address:
125 PATERSON ST
SUITE 6100
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-7733
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RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM is a neurology psychiatry neurology in New Brunswick, 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. RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NPI is 1366487183. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Rutgers Health-rwj Neurology Group.

The provider's business location address is:

125 PATERSON ST
SUITE 6100
NEW BRUNSWICK, NJ
ZIP 08901-962
Phone: (732) 235-7733
Fax: (732) 235-7041

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 6/17/2006 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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13470105MEDICAIDNEW 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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