RUTGERS HEALTH-RWJ PEDIATRIC ADOLESCENT MEDICINE (NPI# 1023055738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023055738 |
| Entity Type | Organization |
| Organization Name | RUTGERS HEALTH-RWJ PEDIATRIC ADOLESCENT MEDICINE |
| Practice Address |
89 French St Suite 2300 New Brunswick NJ 08901-1935 |
| Mailing Address |
66 West Gilbert St Red Bank NJ 07701 |
| Practice Telephone | 7322356230 |
| Practice Fax Number | 7322358766 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120713 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | NANCY D BRADY (SR DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 7322356066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5133505 | 05 |
| Street Address |
89 FRENCH ST SUITE 2300 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689033045 | Sara Welner | Counselor | 89 French St, 2nd Floor, New Brunswick, NJ 08901-1935 | 2016-02-14 |
| 1265890578 | Melanie Lee | Dietitian, Registered | 89 French St, New Brunswick, NJ 08901-1935 | 2016-02-01 |
| 1740590470 | Catherine Piuggi | Dietitian, Registered | 89 French St, New Brunswick, NJ 08901-1935 | 2010-10-15 |
| 1528224193 | Daniel B. Horton | Pediatrics | 89 French St, New Brunswick, NJ 08901-1935 | 2008-08-04 |
| 1932365400 | Joann Carlson | Pediatrics | 89 French St, New Brunswick, NJ 08901-1935 | 2008-08-04 |
| 1093976656 | Sevgi Gurkan | Specialist | 89 French St, New Brunswick, NJ 08901-1935 | 2008-06-17 |
| 1780843144 | Aparna H Kolli | Surgery | 89 French St, 3rd Floor, New Brunswick, NJ 08901-1935 | 2008-06-02 |
| 1932375896 | Evelyn David | Pediatrics | 89 French St, New Brunswick, NJ 08901-1935 | 2008-05-01 |
| 1528232394 | Alexis Boneparth | Pediatrics | 89 French St, Pediatric Rheumatology, New Brunswick, NJ 08901-1935 | 2008-04-14 |
| 1851560882 | Barbara Jean Maggio | Nurse Practitioner | 89 French St, New Brunswick, NJ 08901-1935 | 2008-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093742793 | Frances Barbara Pelliccia | Pediatrics | 123 How Ln, New Brunswick, NJ 08901-3653 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1104228139 | Joyce Diane Moscaritola | Pediatrics | 6 Castle Court, Randolph, NJ 07869 | 2014-09-22 |
| 1326397803 | Amy Bailon | Pediatrics | 21 Woodbine Rd, Florham Park, NJ 07932-2649 | 2012-08-30 |
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1174789515 | Gerald Martin Klein | Pediatrics | 131 Spinnaker Way, Neptune, NJ 07753-5231 | 2008-08-05 |
| 1043474760 | Amj Pediatrics & Associates | Pediatrics | 18 Morris Ave, #2a, Springfield, NJ 07081-1457 | 2008-07-11 |
| 1033376041 | Deena Rachel Zimmerman | Pediatrics | 1020 Phelps Rd, Teaneck, NJ 07666-5625 | 2008-05-19 |
| 1265605919 | Susan Eleanor Skalsky Bales | Pediatrics | 31 Gladding Road, Caldwell, NJ 07006-5804 | 2008-04-02 |
| 1598944415 | Hanna Gebre Medhin | Pediatrics | 10a W Railroad Ave, Jamesburg, NJ 08831-6783 | 2007-10-26 |
| 1669664298 | Rebecca Perril | Pediatrics | 4000 Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.