RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM – NPI #1629277520
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM is a provider located in NEW BRUNSWICK, NJ. NPPES has assigned the NPI number 1629277520 to RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM on July 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM is also known by the name RUTGERS HEALTH-RWJ PEDIATRIC METABOLISM. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 5 years ago on Jan 19, 2021. 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 RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM below.

NPI Profile for
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI Number
1629277520
Enumeration Date

(about 19 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
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Other Name: RUTGERS HEALTH-RWJ PEDIATRIC METABOLISM
Primary location
89 FRENCH STREET, SUITE 2360
CHILD HEALTH INSTITUTE OF NEW JERSEY
NEW BRUNSWICK, NJ 08901
Phone: (732) 235-7541 Fax: (732) 235-8127
Mailing address
66 W GILBERT ST
TINTON FALLS, NJ 07701-4947
Phone: (732) 212-0051 Fax: (732) 212-0713
Organization Subpart
No
Authorized Official
BRENDA LAWRENCE
DIRECTOR OF REVENUE CYCLE
Phone: (732) 235-6070
Updated
Certification Date
Jan 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)
2080P0205X
- Pediatrics / Pediatric Endocrinology

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.