1902848625 NPI number — ROBERT WOOD JOHNSON MEDICAL ASSOCIATES

Table of content: (NPI 1902848625)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902848625 NPI number — ROBERT WOOD JOHNSON MEDICAL ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT WOOD JOHNSON MEDICAL ASSOCIATES
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:
Provider Other Organization Name Type Code:
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:
1902848625
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 EXECUTIVE DR
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
SOMERSET
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08873-4007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-369-5965
Provider Business Mailing Address Fax Number:
732-369-5993

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 ROBERT WOOD JOHNSON PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08901-1928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-235-7840
Provider Business Practice Location Address Fax Number:
732-235-7048
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ANDERSON
Authorized Official First Name:
RURIC (ANDY)
Authorized Official Middle Name:
CLESBY
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
973-322-4804

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5595676 . This is a "AETNA PPO GROUP #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0142345000 . This is a "AMERIHEALTH GROUP # EDISO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2078417 . This is a "AETNA HMO GROUP #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 7172702 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: CJ3781 . This is a "RAILROAD MEDICARE GROUP #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0142345004 . This is a "AMERIHEALTH GROUP # MONRO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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