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

Active since May 08, 2017CLIA 31D2154438 · 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: July 19, 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 September 11, 2026 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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2154438
Facility Type
Other - MED SCHOOL CLIN RESEA
Certificate Effective Date
September 12, 2024
Certificate Expiration Date
September 11, 2026
Laboratory Director
YANILLE TAVERAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rutgers Njms to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245766450, enumerated as an "organization" on May 08, 2017.

The provider is located at 185 S ORANGE AVE # MSBF-603 NEWARK, NJ 07103 and the phone number is (973) 972-0740.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.