Organization
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Active
Organization
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Active
Parent organization
RUTGERS STATE UNIVERSITY OF NEW JERSEY
Other names
Rutgers Emergency Medical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUTGERS STATE UNIVERSITY OF NEW JERSEY
Authorized official
MRS. CAROL NOWITZKE (MANAGER OF QA AND PLANNING)
(848) 932-4982
Entity
Organization
Contact information
Practice address
55 COMMERCIAL AVE, NEW BRUNSWICK, NJ 08901-2786
(848) 932-4982
(732) 932-4992
Mailing address
PO BOX 1077, PISCATAWAY, NJ 08855-1077
(848) 932-4982
(732) 932-4992
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
RUTG00510
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0603537
AETNA PROVIDER NUMBER
NJ
01
—
1089402
KEYSTONE MERCY ID #
NJ
01
—
21010
UNIVERSITY HEALTH PLAN ID
NJ
01
—
23209
AMERICAID PROVIDER NUMBER
NJ
05
—
7190409
—
NJ
01
—
A598426
OXFORD
NJ
01
—
NJ6758
HEALTHNET PROVIDER NUMBER
NJ
Enumeration date
02/01/2007
Last updated
03/09/2015
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