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Organization
RARITAN BAY MEDICAL CENTER
Active
Organization
RARITAN BAY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HAILPERIN (MANAGED CARE)
(732) 293-2314
Entity
Organization
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 293-2314
(732) 952-8841
Mailing address
PO BOX 11665, NEWARK, NJ 07101-4665
(732) 293-2314
(732) 952-8841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001431
NEO GHI PPO GROUP #
NJ
01
—
0004310000
NEO AMERIHEALTH GROUP #
NJ
01
—
0013003
FP AETNA HMO GROUP #
NJ
01
—
2697433000
OBGYN AMERIHEALTH GROUP #
NJ
01
—
4137809
BRUG HEALTHSTART MEDICAID
NJ
01
—
6420530
FP AETNA PPO GROUP #
NJ
01
—
7314162
NEO AETNA PPO GROUP #
NJ
01
—
DD0800
SURGERY RRMDCR GROUP #
NJ
Enumeration date
08/29/2006
Last updated
08/01/2016
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