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ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL DENTAL SUITE
NPI 1063561025
Clinic/Center - Dental in New Brunswick, NJ

Active since January 09, 2007CLIA 31D0653171 · Accreditation
1 ROBERT WOOD JOHNSON PL, DENTAL SUITE, NEW BRUNSWICK, NJ 08901(732) 937-8653(732) 253-3575 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Wood Johnson University Hospital Dental Suite NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL DENTAL SUITE (NPI 1063561025) is a healthcare organization registered as a dental in New Brunswick, New Jersey and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Jacqueline S. Reid, Director, Dental Suite, as its authorized official.

NPPES Registry Identity

NPI1063561025
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROBERT WOOD JOHNSON UNIVERSITY HOSPITAL DENTAL SUITE
Location Address1 ROBERT WOOD JOHNSON PL, DENTAL SUITENew Brunswick, NJ 08901-1928
Mailing Address1 Robert Wood Johnson Pl, Dental SuiteNew Brunswick, NJ 08901-1928 · (732) 937-8653 · Fax (732) 253-3575
Phone(732) 937-8653
Fax(732) 253-3575
Organization SubpartNo
Authorized OfficialJacqueline S. ReidDirector, Dental Suite · (732) 937-8653
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 15, 2011
✔ NPI 1063561025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NJ · DI019921
1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901
Open in Google Maps ↗

Other Identifiers 1

Medicaid4137710NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 31D0653171

Robert Wood Johnson University Hospital · New Brunswick, NJ
Active · expires Feb 8, 2027
CLIA Number31D0653171
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Gratian Salaru
Laboratory Phone(732) 937-8590
Laboratory LocationRobert Wood Johnson University Hospital1 Robert Wood Johnson Pl, Clinical Lab 2nd Fl Tower Bldg/ Attn Jonathan Bodnar, New Brunswick, NJ 08901
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOKESH LAHOTI
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 823-3000
BILLIE S FYFE KIRSCHNER MD
Pathology (Anatomic Pathology)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 937-8651
LISANNE HAUCK
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7900
DANIEL NOTTERMAN
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7900
SHAUL COHEN MD
Anesthesiology
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 937-8841
AMANDA BORHAM M.D.
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7794
DEVON AMANDA ORZANO APN
Nurse Practitioner (Acute Care)
1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 828-3000
GAMAL MOHAMED MD
Emergency Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 828-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wood Johnson University Hospital Dental Suite's NPI number?

The NPI number for Robert Wood Johnson University Hospital Dental Suite is 1063561025. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Robert Wood Johnson University Hospital Dental Suite located?

Robert Wood Johnson University Hospital Dental Suite is located at 1 Robert Wood Johnson Pl Dental Suite, New Brunswick, NJ 08901. The listed phone number is (732) 937-8653.

What is Robert Wood Johnson University Hospital Dental Suite's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Robert Wood Johnson University Hospital Dental Suite hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D0653171) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Robert Wood Johnson University Hospital Dental Suite was last updated on December 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.