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
- 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
- Code Navigator
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.
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 |
---|---|---|---|
6692605 | MEDICAID (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.
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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. | |||||||||
1 | 4 | 9 | 7 | 8 | 6 | 7 | 4 | 1 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 18 | 7 | 16 | 6 | 14 | 4 | 2 | |
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 Program | 1 WORLDS FAIR DR SOMERSET, NJ 08873 (734) 463-7546 |
1295973782 | DR. APARNA ARUN MD Individual | Pediatrics | 1 WORLDS FAIR DR SUITE 1 SOMERSET, NJ 08873 (732) 743-5437 |
1598723884 | DR. AMY S PAPPERT MD Individual | Dermatology | 1 WORLDS FAIR DR SUITE 2400 SOMERSET, NJ 08873 (732) 235-7765 |
1609937655 | ELSIE ROCA-PICCINI Individual | Pediatrics | 1 WORLDS FAIR DR ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET SOMERSET, NJ 08873 (732) 743-5437 |
1922329218 | KRISTINE HELD SCHMITZ M.D. Individual | Pediatrics | 1 WORLDS FAIR DR SOMERSET, NJ 08873 (732) 743-5437 |
1356869564 | DR. SHOSHANA ZITTER MD Individual | Pediatrics | 1 WORLDS FAIR DR SOMERSET, NJ 08873 (732) 743-5437 |
1073018735 | ESHA SHAH MD Individual | Pediatrics | 1 WORLDS FAIR DR SOMERSET, NJ 08873 (732) 743-5437 |
1275692659 | EMANUEL LERNER MD Individual | Pediatrics | 1 WORLDS FAIR DR ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET SOMERSET, NJ 08873 (732) 743-5437 |
1255061123 | ALISON ROSE ROMISHER MD Individual | Dermatology | 1 WORLDS FAIR DR SOMERSET, NJ 08873 (732) 235-7993 |
1548823206 | DR. LISA ZHOU MD Individual | Dermatology | 1 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].
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