ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC


Address: 3548 Route 9, Old Bridge, NJ 08857-2765
Phone: 7329700420

ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC (NPI# 1861848350) 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) 1861848350
Entity Type Organization
Organization Name ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC
Other Organization Name JFK ADVANCED MEDICAL IMAGING OF OLD BRIDGE
Practice Address 3548 Route 9
Old Bridge
NJ 08857-2765
Mailing Address 80 James St
Edison
NJ 08820-3938
Practice Telephone 7329700420
Mailing Telephone 7323217000
Mailing Fax Number 7323183693
Enumeration Date 2016-05-13
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 Old Bridge Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306382254 Robert Wood Johnson Jr Lifestyle Institute Inc Clinic/Center 1430 Hooper Avenue, #102, Toms River, NJ 08753 2017-01-17

Office Location

Street Address 3548 ROUTE 9
City OLD BRIDGE
State NJ
Zip Code 08857-2765

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104950013 Dermatology Associates of Central New Jersey, Pa Dermatology 3548 Route 9, Suite 2, Old Bridge, NJ 08857-2765 2007-03-15
1033592142 Megan Pawlowski Physician Assistant 3548 Route 9, Suite 2, Old Bridge, NJ 08857-2765 2015-07-07
1417356288 Allein Deocera Howard Physician Assistant 3548 Route 9, Old Bridge, NJ 08857-2765 2014-08-18
1497093009 Angelica J Torres Physician Assistant 3548 Route 9, Suite 2, Old Bridge, NJ 08857-2765 2013-01-17
1992023089 Puneet B Belani Radiology 3548 Route 9, Old Bridge, NJ 08857-2765 2010-05-13
1528203809 Maria Joyce Rowena Bernabe Dermatology 3548 Route 9, Old Bridge, NJ 08857-2953 2008-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508463886 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 1007 Highway Route 9n, Old Bridge, NJ 08857 2020-10-08
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1770097347 Cindy Zhang Nurse Practitioner 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 2017-11-18
1639688542 Courtney M Demaio Social Worker 20 Bertrand St., Old Bridge, NJ 08857 2017-09-22
1861921983 Erica Marriaga Social Worker 9c Spruce Lane, Apartment C, Old Bridge, NJ 08857 2017-06-12
1730615493 New Jersey Institute for Disabilities, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 401 Matchaponix Rd, Old Bridge, NJ 08857 2017-05-02
1033581715 Akriti Sharma Physical Therapist 14 Woodward Drive, Old Bridge, NJ 08857 2015-10-21
1376925990 Central Old Bridge Emergency Medical Service Inc Ambulance 133 Ticetown Road, Old Bridge, NJ 08857 2015-06-19
1609283779 Stephanie Detone Audiologist 3663 Route 9 North, Old Bridge, NJ 08857 2014-07-21
1326461963 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 2825 Hwy Route 18, Old Bridge, NJ 08857 2014-02-03
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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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Competitor

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City OLD BRIDGE
Zip Code 08857

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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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