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ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING NPI 1881666105


NPI Information

NPI: 1881666105
Provider Name: ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING

Former Legal Business Name: UMDNJ-SOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
42 EAST LAUREL ROAD
UDP, 1800
STRATFORD, NJ
ZIP 08084
Phone: (856) 566-6843
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ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING is an internal medicine in Stratford, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING NPI is 1881666105. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Umdnj-som New Jersey Institute For Successful Aging.

The provider's business location address is:

42 EAST LAUREL ROAD
UDP, 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
1207RG0300XInternal MedicineGeriatric MedicineNo
2207Q00000XFamily MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4363L00000XNurse PractitionerNo
5363LG0600XNurse PractitionerGerontologyNo
6207R00000XInternal 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
1CI0612OTHERNEW JERSEYRAILROAD MEDICARE
2598644MEDICARE PINNEW JERSEY
33407004MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.