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NPI Code Detail

MEDICARE: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL @ RAHWAY

MEDICARE: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL @ RAHWAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7528957OTHERNJEMPIRE MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1004737OTHERNJKEYSTONE
2310224OTHERNJHORISON STATE HEALTH BEN
30009811OTHERNJAETNA
4001570OTHERNJWELLCHOICE
5HO4953OTHERNJOXFORD HEALTH PLAN
6310024OTHERNJHORIZON NJ BLUE CROSS
8IL5193OTHERNJHEALTHNET
9001570OTHERNJNYBC/WELLCHOICE
101008954OTHERNJHORIZON NJ HEALTH
1150040OTHERNJAMERIGROUP

General Provider Information

NPI Number : 1215921051
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL @ RAHWAY
Provider Business Mailing Address
First Line : 865 STONE ST
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2742
Country : US
Telephone Number : 732-499-6084
Fax Number :
Provider Business Practice Location Address
First Line : 865 STONE ST
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2742
Country : US
Telephone Number : 732-499-6084
Fax Number :
Authorized Official
Title or Position : DIRECTOR PATIENT ACCOUNTS
Name : MRS. BARBARA T. BOWBLISS
Credential :
Telephone Number : 732-499-6084
Provider Enumeration Date : 09/08/2005
Last Update Date : 02/05/2010

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