ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE
NPI 1245587922
Family Medicine in Somerset, NJ

Active since August 13, 2012CLIA 31D0125769 · Waiver
3 EXECUTIVE DRIVE, SUITE 400, SOMERSET, NJ 08873(732) 369-5994(732) 369-5993 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2017, Dec 15, 2016 (2 updates tracked since 2016).

About Robert Wood Johnson Physician Enterprise NPPES

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

ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE (NPI 1245587922) is a healthcare organization registered as a family medicine in Somerset, New Jersey and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joshua Bershad, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1245587922
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE
Location Address3 EXECUTIVE DRIVE, SUITE 400Somerset, NJ 08873
Mailing Address3 Executive Drive, Suite 400Somerset, NJ 08873 · (732) 369-5994 · Fax (732) 369-5993
Fax(732) 369-5993
Organization SubpartNo
Authorized OfficialJoshua BershadPresident & Ceo · (732) 369-5994
Enumeration DateAugust 13, 2012
Last NPPES UpdateMay 8, 20172 updates tracked since enumeration
NPI 1245587922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
3 EXECUTIVE DRIVE, Somerset, NJ 08873

Other Identifiers 2

Medicare PIN258450NJ
Medicaid0319392NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Waiver 31D0125769

Robert Wood Johnson Physician Enterprise, PA · Somerset, NJ
Active · expires Aug 31, 2026
CLIA Number31D0125769
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSheldon J. Kukafka
Laboratory Phone(732) 247-7444
Laboratory LocationRobert Wood Johnson Physician Enterprise, PA75 Veronica Avenue Suite 101, Somerset, NJ 08873
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Physician Enterprise's NPI number?

The NPI number for Robert Wood Johnson Physician Enterprise is 1245587922. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Robert Wood Johnson Physician Enterprise located?

Robert Wood Johnson Physician Enterprise is located at 3 Executive Drive Suite 400, Somerset, NJ 08873. The listed phone number is (732) 369-5994.

What is Robert Wood Johnson Physician Enterprise's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Robert Wood Johnson Physician Enterprise hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0125769) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Robert Wood Johnson Physician Enterprise accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Wood Johnson Physician Enterprise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Wood Johnson Physician Enterprise was last updated on May 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.