ROWANSOM DEPT OF FAMILY PRACTICE – NPI #1790765055
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ROWANSOM DEPT OF FAMILY PRACTICE is a provider located in STRATFORD, NJ. NPPES has assigned the NPI number 1790765055 to ROWANSOM DEPT OF FAMILY PRACTICE on January 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is UMDNJ-SOM DEPT OF FAMILY PRACTICE. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on May 15, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROWANSOM DEPT OF FAMILY PRACTICE below.

NPI Profile for
ROWANSOM DEPT OF FAMILY PRACTICE

NPI Number
1790765055
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROWANSOM DEPT OF FAMILY PRACTICE
Former Legal Business Name: UMDNJ-SOM DEPT OF FAMILY PRACTICE
Primary location
42 EAST LAUREL ROAD
UDP, SUITE 2100
STRATFORD, NJ 08084
Phone: (856) 566-7020 Fax: (856) 566-6188
Mailing address
PO BOX 635
BELLMAWR, NJ 08099-0635
Phone: (856) 566-6706 Fax: (856) 566-2797
Organization Subpart
No
Authorized Official
MICHAEL RIEKER
INTERIM CHIEF FINANCIAL OFFICIER
Phone: (856) 770-5729
Updated
Identifiers

Identifiers for ROWANSOM DEPT OF FAMILY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARENJCA1750
MEDICAIDNJ3215709
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.