RUTGERS HEALTH-RWJ PRIMARY CARE INSTITUTE
NPI 1497867410
Pediatrics in Somerset, NJ

NPI Status: Active since August 31, 2006

Contact Information

1 WORLDS FAIR DR
SOMERSET, NJ
ZIP 08873
Phone: (732) 743-5437

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 31D1050464
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-02-2026

About RUTGERS HEALTH-RWJ PRIMARY CARE INSTITUTE

This page provides the complete NPI Profile along with additional information for Rutgers Health-rwj Primary Care Institute, a pediatrician established in Somerset, New Jersey operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1497867410 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Rutgers Health-rwj Primary Care Institute operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Rutgers Health-rwj Primary Care Institute. The authorized official of this NPI record is Brenda Lawrence (Director Of Revenue Cycle)

NPI
1497867410
Provider Legal Name
RUTGERS HEALTH-RWJ PRIMARY MEDICINE GROUP
Other Organization Name
RUTGERS HEALTH-RWJ PRIMARY CARE INSTITUTE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1 WORLDS FAIR DR SOMERSET, NJ 08873
Location Phone
(732) 743-5437
Mailing Address
66 W GILBERT ST RED BANK, NJ 07701
Mailing Phone
(732) 212-0051
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
01-20-2021
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A pediatrician like Rutgers Health-rwj Primary Care Institute is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRENDA LAWRENCE

Authorized Official Title
DIRECTOR OF REVENUE CYCLE
Authorized Official Phone
(732) 235-6070

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6692605MEDICAID (05)NJ 

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
31D1050464
Facility Type
Physician Office
Certificate Effective Date
February 03, 2024
Certificate Expiration Date
February 02, 2026
Laboratory Director
GRATIAN SALARU MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rutgers Health-rwj Primary Care Institute 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.

Reviews for RUTGERS HEALTH-RWJ PRIMARY CARE INSTITUTE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497867410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871661442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 6 + 1 + 4 + 4 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497867410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124319397 OMAR NOOR M.D.
Individual
Student in an Organized Health Care Education/Training Program1 WORLDS FAIR DR
SOMERSET, NJ 08873
(734) 463-7546
1295973782DR. APARNA ARUN MD
Individual
Pediatrics1 WORLDS FAIR DR SUITE 1
SOMERSET, NJ 08873
(732) 743-5437
1598723884DR. AMY S PAPPERT MD
Individual
Dermatology1 WORLDS FAIR DR SUITE 2400
SOMERSET, NJ 08873
(732) 235-7765
1609937655 ELSIE ROCA-PICCINI
Individual
Pediatrics1 WORLDS FAIR DR ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
SOMERSET, NJ 08873
(732) 743-5437
1922329218 KRISTINE HELD SCHMITZ M.D.
Individual
Pediatrics1 WORLDS FAIR DR
SOMERSET, NJ 08873
(732) 743-5437
1356869564DR. SHOSHANA ZITTER MD
Individual
Pediatrics1 WORLDS FAIR DR
SOMERSET, NJ 08873
(732) 743-5437
1073018735 ESHA SHAH MD
Individual
Pediatrics1 WORLDS FAIR DR
SOMERSET, NJ 08873
(732) 743-5437
1275692659 EMANUEL LERNER MD
Individual
Pediatrics1 WORLDS FAIR DR ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
SOMERSET, NJ 08873
(732) 743-5437
1255061123 ALISON ROSE ROMISHER MD
Individual
Dermatology1 WORLDS FAIR DR
SOMERSET, NJ 08873
(732) 235-7993
1548823206DR. LISA ZHOU MD
Individual
Dermatology1 WORLDS FAIR DR
SOMERSET, NJ 08873
(732) 235-7993

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497867410, enumerated in the NPI registry as an "organization" on August 31, 2006

The provider is located at 1 Worlds Fair Dr Somerset, Nj 08873 and the phone number is (732) 743-5437

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 31D1050464 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.