1861486870 NPI number — ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY

Table of content: (NPI 1861486870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861486870 NPI number — ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RAHWAY HOSPITAL
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861486870
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
865 STONE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RAHWAY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07065-2742
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-499-6084
Provider Business Mailing Address Fax Number:
732-499-6106

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
865 STONE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RAHWAY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07065-2742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-499-6084
Provider Business Practice Location Address Fax Number:
732-499-6106
Provider Enumeration Date:
09/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
TICE
Authorized Official First Name:
KIRK
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
732-499-6050

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  12006 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HO4953 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1008954 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: IL5193 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 001570 . This is a "NYBC/WELLCHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 004737 . This is a "KEYSTONE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0009811 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 001570 . This is a "WELLCHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 310224 . This is a "HORIZON STATE HEALTH BENE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3674401 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 310024 . This is a "HORIZON NJBC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 50040 . This is a "AMERIGROUP HOSP. #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com