Rutgers Health-rwj Psychiatric Group | |
125 Paterson Street, Suite 2200 Piscataway NJ 08854-5627 | |
(732) 828-3000 | |
(732) 235-3923 |
Full Name | Rutgers Health-rwj Psychiatric Group |
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Speciality | Psychiatry & Neurology |
Location | 125 Paterson Street, Suite 2200, Piscataway, New Jersey |
Authorized Official Name and Position | Brenda Lawrence (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 7322356070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rutgers Health-rwj Psychiatric Group 66 W Gilbert St Red Bank NJ 07701 Ph: (732) 212-0051 | Rutgers Health-rwj Psychiatric Group 125 Paterson Street, Suite 2200 Piscataway NJ 08854-5627 Ph: (732) 828-3000 |
NPI Number | 1033207378 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 02/04/2021 |
Certification Date | 01/19/2021 |
Medicare PECOS PAC ID | 2668464108 |
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Medicare Enrollment ID | O20040402000376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033207378 | NPI | - | NPPES |
3579701 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sherie L Novotny |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942218607 PECOS PAC ID: 9739077843 Enrollment ID: I20040310000046 |
Provider Name | Anthony M Tobia |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932287257 PECOS PAC ID: 3577550896 Enrollment ID: I20040428001287 |
Provider Name | Jill M Williams |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366542565 PECOS PAC ID: 7113940016 Enrollment ID: I20060111000281 |
Provider Name | Matthew A Menza |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356429633 PECOS PAC ID: 6406041748 Enrollment ID: I20101111000901 |
Provider Name | Kenneth R. Kaufman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831277169 PECOS PAC ID: 6002002011 Enrollment ID: I20101201001280 |
Provider Name | Humberto Marin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558441287 PECOS PAC ID: 1355538141 Enrollment ID: I20101206000763 |
Provider Name | Aphrodite M Zimmerman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932303583 PECOS PAC ID: 2365699899 Enrollment ID: I20120905000665 |
Provider Name | Viwek S Bisen |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760493787 PECOS PAC ID: 7214118470 Enrollment ID: I20121004000141 |
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