| NPI | 1912510041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RURIC ANDERSON Vice President, Support Service 732-369-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 207R00000X Internal Medicine | |
| 207L00000X Anesthesiology | |
| 363AM0700X Physician Assistant, Medical | |
| 207Q00000X Family Medicine | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363A00000X Physician Assistant | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-10-15 |