RUTGERS NJMS
NPI 1245766450
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since May 08, 2017CLIA 31D2345190 · Waiver
185 S ORANGE AVE # MSBF-603, NEWARK, NJ 07103(973) 972-0740 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rutgers Njms NPPES

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

RUTGERS NJMS (NPI 1245766450) is a healthcare organization registered as a student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Tanya Masand, Resident, as its authorized official.

NPPES Registry Identity

NPI1245766450
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameRUTGERS NJMS
Location Address185 S ORANGE AVE # MSBF-603Newark, NJ 07103-2757
Mailing Address185 S Orange Ave # Msbf-603Newark, NJ 07103-2757 · (973) 972-0740
Organization SubpartNo
Authorized OfficialTanya MasandResident · (516) 650-2957
Enumeration DateMay 8, 2017
NPI 1245766450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
185 S ORANGE AVE # MSBF-603, Newark, NJ 07103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 31D2345190

Rutgers-Njms-Pediatrics-Div Of Adol & Young Adult Med · Newark, NJ
Active · expires Jun 4, 2028
CLIA Number31D2345190
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorDominga S. Padilla
Laboratory Phone(973) 972-6198
Laboratory LocationRutgers-Njms-Pediatrics-Div Of Adol & Young Adult Med90 Bergen St Suite 4400, Newark, NJ 07103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics (Pediatric Critical Care Medicine)
185 S ORANGE AVE # MSBF-603
NEWARK, NJ 07103

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 Rutgers Njms's NPI number?

The NPI number for Rutgers Njms is 1245766450. It was assigned to this organization in the NPPES registry on May 8, 2017.

Where is Rutgers Njms located?

Rutgers Njms is located at 185 S Orange Ave # Msbf-603, Newark, NJ 07103. The listed phone number is (973) 972-0740.

What is Rutgers Njms's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Does Rutgers Njms hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2345190) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rutgers Njms was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.