Healthcare Provider Details

I. General information

NPI: 1902848625
Provider Name (Legal Business Name): ROBERT WOOD JOHNSON MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK NJ
08901-1928
US

IV. Provider business mailing address

3 EXECUTIVE DR SUITE 400
SOMERSET NJ
08873-4007
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-7840
  • Fax: 732-235-7048
Mailing address:
  • Phone: 732-369-5965
  • Fax: 732-369-5993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: RURIC (ANDY) CLESBY ANDERSON
Title or Position: MD
Credential:
Phone: 973-322-4804