ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC PSYCHIATRY NPI 1881668846

NPI Information

  • NPI: 1881668846
  • Provider Name: ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC PSYCHIATRY
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Former Legal Business Name: UMDNJ-SOM NEWJERSEY INSTITUTE FORSUCCESSFUL AGING-GERIATRIC PSYCHIATRY
  • Address: 42 EAST LAUREL ROAD
    UDP, SUITE 1800
    STRATFORD, NJ
    ZIP 08084
  • Phone: (856) 566-6843

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NPI Details

ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC PSYCHIATRY is a psychiatry psychiatry neurology in Stratford, NJ. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC PSYCHIATRY NPI is 1881668846. 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 Forsuccessful Aging-geriatric Psychiatry.

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 2/15/2006 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
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3103G00000XClinical NeuropsychologistNo
42084P0800XPsychiatry & NeurologyPsychiatryYes

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
1022538MEDICARE PINNEW JERSEY
2CK3636OTHERNEW JERSEYRAILROAD MEDICARE
37851006MEDICAIDNEW 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: 3/30/2025

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