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RUTGERS HEALTH - RWJ HEM/ONC
Complete NPI Record 1942373592
Clinic/Center - Multi-Specialty in New Brunswick, NJ

Active since November 15, 2006
125 PATERSON ST, SUITE 5200A, NEW BRUNSWICK, NJ 08901(732) 235-7217(732) 235-6526 Get Directions

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 29, 2020, Nov 4, 2019, Jul 11, 2017 (3 updates tracked since 2017).

Complete NPI Dataset

This page contains the complete raw NPPES record for Rutgers Health - Rwj Hem/onc (NPI 1942373592), a clinic/center organization in New Brunswick, NJ. All 42 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

Registry File Document Utilities
NPI: 1942373592
Field 1/42
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Field 2/42
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available
Field 3/42
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Field 4/42
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: RUTGERS HEALTH - RWJ HEM/ONC
Field 5/42
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 5
Field 6/42
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 66 W GILBERT ST
Field 7/42
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: RED BANK
Field 8/42
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NJ
Field 9/42
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 07701
Field 10/42
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US
Field 11/42
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 7322120051
Field 12/42
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 7322120713
Field 13/42
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 125 PATERSON ST
Field 14/42
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: SUITE 5200A
Field 15/42
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: NEW BRUNSWICK
Field 16/42
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NJ
Field 17/42
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 089011962
Field 18/42
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
Field 19/42
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7322357217
Field 20/42
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7322356526
Field 21/42
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 11/15/2006
Field 22/42
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 12/29/2020
Field 23/42
The date that a record was last updated or changed.
Authorized Official Last Name: LAWRENCE
Field 24/42
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: BRENDA
Field 25/42
The first name of the authorized official.
Authorized Official Title or Position: DIRECTOR OF REVENUE CYCLE
Field 26/42
The title or position of the authorized official.
Authorized Official Telephone Number: 7322356070
Field 27/42
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207RR0500X
Field 28/42
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Field 29/42
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 2085R0001X
Field 30/42
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 2: N
Field 31/42
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 3: 261QM1300X
Field 32/42
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 3: Y
Field 33/42
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 4: 261QP3300X
Field 34/42
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 4: N
Field 35/42
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Other Provider Identifier 1: 6530001
Field 36/42
An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 1: 05
Field 37/42
A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 1: NJ
Field 38/42
The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Is Organization Subpart: N
Field 39/42
Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Field 40/42
Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Field 41/42
Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
NPI Certification Date: 12/29/2020
Field 42/42
The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Other Organization Names 35

Additional business and trade names this provider has on file with the NPPES registry.

Rutgers Health - RWJ Allergy Faculty Other Name
Name 1/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Cancer Institute of New Jersey Other Name
Name 2/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Cardiology Other Name
Name 3/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Child Development Other Name
Name 4/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Dermatology Other Name
Name 5/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Electrophysiology Other Name
Name 6/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Endocrinology Other Name
Name 7/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Gastroenterology Other Name
Name 8/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Hem Onc Other Name
Name 9/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Immunology Other Name
Name 10/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Maternal Fetal Medicine Other Name
Name 11/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Neurology Group Other Name
Name 12/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ OB/GYN Group Other Name
Name 13/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pain Management Other Name
Name 14/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Adolescent Medicine Other Name
Name 15/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Allergy Immunology Ins Disease Other Name
Name 16/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Cardiology Other Name
Name 17/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Development Other Name
Name 18/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Endocrinology Other Name
Name 19/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric G.I. Other Name
Name 20/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Genetics Other Name
Name 21/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Hematology - Oncology Other Name
Name 22/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Metabolism Other Name
Name 23/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Nephrology Other Name
Name 24/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Neurology Other Name
Name 25/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pediatric Rheumatology Other Name
Name 26/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Psychiatric Group Other Name
Name 27/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Psychiatry Clinic Other Name
Name 28/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Psychology Other Name
Name 29/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Pulmonary Other Name
Name 30/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Radiation Oncology Other Name
Name 31/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Rheumatology Other Name
Name 32/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Sports Medcine Other Name
Name 33/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Surgical Oncology Other Name
Name 34/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Rutgers Health - RWJ Urogynecology Other Name
Name 35/35
Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.

Other Provider Identifiers 1

Legacy and payer-issued identifiers reported to the NPPES registry for this provider.

6530001 Medicaid
Identifier 1/1
State: NJ
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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