1942226980 NPI number — DR. SETH DAVID ROSENBAUM MD, MMM

Table of content: DR. SETH DAVID ROSENBAUM MD, MMM (NPI 1942226980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942226980 NPI number — DR. SETH DAVID ROSENBAUM MD, MMM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSENBAUM
Provider First Name:
SETH
Provider Middle Name:
DAVID
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MMM
Provider Gender Code:
M

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:
1942226980
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Provider Second Line Business Mailing Address:
1 HAMILTON HEALTH PLACE
Provider Business Mailing Address City Name:
HAMILTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08690
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-584-2865
Provider Business Mailing Address Fax Number:
609-890-7638

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Provider Second Line Business Practice Location Address:
1 HAMILTON HEALTH PLACE
Provider Business Practice Location Address City Name:
HAMILTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-584-2865
Provider Business Practice Location Address Fax Number:
609-890-7638
Provider Enumeration Date:
07/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X , with the licence number:  25MA07766000 , 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: 0067172 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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