ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING


Address: 42 East Laurel Road, Udp, 1800, Stratford, NJ 08084
Phone: 8565666843

ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING (NPI# 1881666105) 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) 1881666105
Entity Type Organization
Organization Name ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING
Other Organization Name UMDNJ-SOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING
Practice Address 42 East Laurel Road
Udp, 1800
Stratford
NJ 08084
Mailing Address Po Box 635
Bellmawr
NJ 08099-0635
Practice Telephone 8565666843
Practice Fax Number 8565666419
Mailing Telephone 8565666706
Mailing Fax Number 8565662797
Enumeration Date 2006-02-02
Last Update Date 2013-05-15
Authorized Official Name MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICIER)
Authorized Official Telephone 8567705729
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ RAILROAD MEDICARE CI0612 01
NJ 3407004 05

Other Provider/Organization Names

Other Name Type Code
UMDNJ-SOM New Jersey Institute for Successful Aging Former Legal Business Name - Organization

Office Location

Street Address 42 EAST LAUREL ROAD
UDP, 1800
City STRATFORD
State NJ
Zip Code 08084

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790765055 Rowansom Dept of Family Practice Family Medicine 42 East Laurel Road, Udp, Suite 2100, Stratford, NJ 08084 2006-01-20
1508396276 Dennis Anthony Debernardis Student in an Organized Health Care Education/Training Program 42 East Laurel Road, Suite 1700, Stratford, NJ 08084 2017-06-15
1881668846 Rowansom Newjersey Institute for Successful Aging-geriatric Psychiatry Psychologist 42 East Laurel Road, Udp, Suite 1800, Stratford, NJ 08084 2006-02-15
1861464968 Rowansom Newjersey Institute for Successful Aging-geriatric Neurology Psychiatry & Neurology 42 East Laurel Road, Udp, Suite 1800, Stratford, NJ 08084 2006-02-02
1366412306 Rowansom Nmi Rehabilitation Medicine Physical Medicine & Rehabilitation 42 East Laurel Road, Udp, Suite 1700, Stratford, NJ 08084 2006-01-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780209684 Emily Lacount Student in an Organized Health Care Education/Training Program Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 2020-06-16
1356903124 Maziyar Daneshvar Student in an Organized Health Care Education/Training Program Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 2019-07-02
1598321788 Sylvia Orozco Silberman Student in an Organized Health Care Education/Training Program Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 2019-05-14
1831682939 Shriya Jakkidi Reddy Student in an Organized Health Care Education/Training Program Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 2018-06-13
1003336751 Maulik D Shah Student in an Organized Health Care Education/Training Program 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 2017-06-23
1225566946 Bhumi Shah Student in an Organized Health Care Education/Training Program 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 2017-05-25
1902259393 Ameena Javed Jiwani Family Medicine Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 2016-07-20
1104276823 Akshay Sridhar Student in an Organized Health Care Education/Training Program One Medical Center Drive, Suite 162, Stratford, NJ 08084 2016-06-14
1144692138 Amanda Wu Physical Therapist 1255 Caldewell Road, Cherry Hill, NJ 08084 2015-10-29
1215313010 Nathaniel Paul Havens Student in an Organized Health Care Education/Training Program 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 2015-08-04
Find all providers in zip 08084

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265852974 Magdala K. Chery Internal Medicine 42 E Laurel Rd # Udp3100, Stratford, NJ 08084-1354 2014-04-21
1770881153 Internal Medicine of Dr.karkanitsa, LLC Internal Medicine 6580 Main St, Stratford, CT 06614-1605 2011-03-08
1417122946 Charles Bruce-tagoe Internal Medicine 3272 Main St, Stratford, CT 06614-4819 2008-04-25
1760582134 Kori K Krueger Internal Medicine 101 S Wisconsin Ave, Stratford, WI 54484-9692 2006-09-25
1669435087 Leonid Karkanitsa Internal Medicine 6580 Main St Fl 1, Stratford, CT 06614 2006-04-07
1144289513 John Kirkland Internal Medicine 3017 Main St, Stratford, CT 06614-4977 2006-03-22
1891775979 Elizabeth Helfer Internal Medicine 42 E. Laurel Rd 3100, Stratford, NJ 08084-1354 2006-01-17
1477532802 Jeffrey Friedman Internal Medicine 205 E Laurel Rd, 1st Floor, Stratford, NJ 08084-1301 2006-01-13
1194708800 James Patrick Ralabate Internal Medicine 2890 Main St Ste 2a, Stratford, CT 06614-4980 2005-11-28
1093708067 Donald R Noll Internal Medicine 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 2005-08-25
Find all providers in STRATFORD

Competitor

Search similar providers

City STRATFORD
Zip Code 08084

Improve Information

Please comment or provide details below to improve the information on ROWANSOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING.

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.

Trending Searches