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RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NPI 1619059011


NPI Information

NPI: 1619059011
Provider Name: RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

Other Name: RUTGERS HEALTH-RWJ PEDIATRIC ALLERGY IMMUNOLOGY INF DISEASE

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
89 FRENCH STREET, 2ND FLOOR, SUITE 2300
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-6230
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RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM is an allergy immunology in New Brunswick, NJ. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NPI is 1619059011. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Rutgers Health-rwj Pediatric Allergy Immunology Inf Disease.

The provider's business location address is:

89 FRENCH STREET, 2ND FLOOR, SUITE 2300
NEW BRUNSWICK, NJ
ZIP 08901-928
Phone: (732) 235-6230
Fax: (732) 235-7419

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
1207K00000XAllergy & ImmunologyYes

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
15095701MEDICAIDNEW 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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