ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC


Address: 1430 Hooper Avenue, #102, Toms River, NJ 08753
Phone: 7323492867

ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC (NPI# 1306382254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306382254
Entity Type Organization
Organization Name ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC
Other Organization Name JFK ADVANCED MEDICAL IMAGING OF TOMS RIVER
Practice Address 1430 Hooper Avenue
#102
Toms River
NJ 08753
Mailing Address 80 James St
Edison
NJ 08820-3938
Practice Telephone 7323492867
Mailing Telephone 7323217000
Mailing Fax Number 7323183693
Enumeration Date 2017-01-17
Last Update Date 2017-04-10
Authorized Official Name RICHARD C SMITH (CFO)
Authorized Official Telephone 7323217747
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
JFK Advanced Medical Imaging of Toms River Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861848350 Robert Wood Johnson Jr Lifestyle Institute Inc Clinic/Center 3548 Route 9, Old Bridge, NJ 08857-2765 2016-05-13

Office Location

Street Address 1430 HOOPER AVENUE
#102
City TOMS RIVER
State NJ
Zip Code 08753

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NPI Name Taxonomy Address Enumeration
1023070026 Toms River Surgery Center, LLC Clinic/Center 1430 Hooper Avenue, Suite 301, Toms River, NJ 08753-2895 2006-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1164428330 Stat Radiology LLC Clinic/Center 25 Mule Rd, Ste B5&b6, Toms River, NJ 08755-5035 2005-06-22
1427188796 Stat Radiology LLC Clinic/Center 1314 Hooper Ave, Toms River, NJ 08753-2975 2007-03-06

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1679030415 Imagecare LLC Clinic/Center 57 Route 46 Ste 212, Hackettstown, NJ 07840-2695 2019-02-28
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1851734123 Hds Medical Imaging LLC Clinic/Center 845 Newark Ave, Jersey City, NJ 07306-5194 2013-04-16
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Competitor

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City TOMS RIVER
Zip Code 08753

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Dataset Information

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.

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