RARITAN BAY MEDICAL CENTER PROFESSIONAL SERVICES (NPI# 1265529523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265529523 |
| Entity Type | Organization |
| Organization Name | RARITAN BAY MEDICAL CENTER PROFESSIONAL SERVICES |
| Practice Address |
530 New Brunswick Ave Perth Amboy NJ 08861-3654 |
| Mailing Address |
Po Box 48270 Newark NJ 07101-4800 |
| Practice Telephone | 7323246065 |
| Practice Fax Number | 7323246063 |
| Mailing Telephone | 2018189118 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOM SHANAHAN (CEO) |
| Authorized Official Telephone | 7322932314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MA04033300 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA07854400 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA07056200 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA07043800 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA07115800 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA058981 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA02777800 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA052550 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA05746900 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA05696500 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA058732 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA030532 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA027102 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA034796 | NJ | Other Service Providers |
| Y | 174400000X | Specialist | 25MA077662 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316036015 | Raritan Bay Medical Center Professional Services | Specialist | 2045 Route 35 South, Sayreville, NJ 08872 | 2006-10-12 |
| 1306939434 | Raritan Bay Medical Center Professional Services | Specialist | 500 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-02 |
| 1134201635 | Raritan Bay Medical Center Professional Services | Specialist | 516 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-20 |
| 1407945108 | Raritan Bay Medical Center Professional Services | Specialist | 2433 County Highway 516, Suite 3b, Old Bridge, NJ 08857 | 2006-10-12 |
| 1245330588 | Raritan Bay Medical Center Professional Services | Specialist | 390 New Brunswick Ave, Fords, NJ 08863-2110 | 2006-09-25 |
| 1033219357 | Raritan Bay Medical Center Professional Services | Specialist | 1 Hospital Plz, Old Bridge, NJ 08857-3012 | 2006-09-25 |
| Street Address |
530 NEW BRUNSWICK AVE |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367383 | Suzanne M Newman | Emergency Medicine | 530 New Brunswick Ave, Raritan Bay Medical Center, Perth Amboy, NJ 08861-3654 | 2005-06-27 |
| 1942839212 | Manzoor Un Nisa | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2020-04-07 |
| 1831728773 | Vasudev Malik Daliparty | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2020-04-03 |
| 1528697455 | Alejandra Razzeto | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2020-04-03 |
| 1285263392 | Faseeha Rehman | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2020-04-02 |
| 1235768284 | Srijana Poudel | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2020-04-02 |
| 1639708795 | Jonathan Cedric Kovacs | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2020-04-02 |
| 1194354019 | Samer Issa Talib | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3685 | 2020-04-02 |
| 1710516760 | Bilal Moayad Hasan Ashqar | Student in an Organized Health Care Education/Training Program | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3685 | 2020-04-02 |
| 1235799800 | Fresenius Medical Care Perth Amboy, LLC | Clinic/Center | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1326477027 | Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2013-11-04 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336402270 | Racquel Rodney | Specialist | 116 1/2 Rector St, Perth Amboy, NJ 08861 | 2012-06-15 |
| 1245529445 | Gps of New Jersey Md PC | Specialist | 272 High Street, Perth Amboy, NJ 08861-4406 | 2011-03-29 |
| 1831249036 | Middlesex Physical Therapy Services Inc. | Specialist | 40 New Brunswick Ave, Perth Amboy, NJ 08861-5000 | 2007-01-11 |
| 1306939434 | Raritan Bay Medical Center Professional Services | Specialist | 500 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-02 |
| 1982631388 | Primary Care Network At Raritan Bay Inc | Specialist | 466 New Brunswick Ave, Perth Amboy, NJ 08861-3647 | 2006-06-28 |
| 1225323967 | Old Bridge Anesthesiology PC | Specialist | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2011-06-10 |
| 1306034798 | Qurban Ali Babar | Specialist | 40 New Brunswick Ave, Perth Amboy, NJ 08861-5000 | 2007-10-10 |
| 1578602280 | Raritan Ob Gyn Associates | Specialist | 485 New Brunswick Ave, Suite 100, Perth Amboy, NJ 08861-3675 | 2007-02-06 |
| 1134201635 | Raritan Bay Medical Center Professional Services | Specialist | 516 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-20 |
| 1376645325 | Thomas Kincade | Specialist | 104 Market St, Perth Amboy, NJ 08861-4412 | 2006-09-01 |
| Find all providers in PERTH AMBOY | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
Please comment or provide details below to improve the information on RARITAN BAY MEDICAL CENTER PROFESSIONAL SERVICES.
| 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.