Healthcare Provider Details

I. General information

NPI: 1326909441
Provider Name (Legal Business Name): RUTGERS HEALTH - UNIVERSITY BEHAVIORAL HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 RANDOLPH RD UNIT 3
PLAINFIELD NJ
07060-3317
US

IV. Provider business mailing address

151 CENTENNIAL AVE
PISCATAWAY NJ
08854-3907
US

V. Phone/Fax

Practice location:
  • Phone: 800-969-5300
  • Fax:
Mailing address:
  • Phone: 732-235-5940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. CARL W O'BRIEN
Title or Position: RU, UBHC, CFO
Credential:
Phone: 732-235-5940