Provider Demographics
NPI:1821138520
Name:RHEUMATOLOGY & ARTHRITIS ASSOC., PC
Entity Type:Organization
Organization Name:RHEUMATOLOGY & ARTHRITIS ASSOC., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-654-5100
Mailing Address - Street 1:30 JACKSON RD
Mailing Address - Street 2:SUITE D2
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9283
Mailing Address - Country:US
Mailing Address - Phone:609-654-5100
Mailing Address - Fax:609-654-5922
Practice Address - Street 1:30 JACKSON RD
Practice Address - Street 2:SUITE D2
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-9283
Practice Address - Country:US
Practice Address - Phone:609-654-5100
Practice Address - Fax:609-654-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03749200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0907732005OtherCIGNA
NJ4987306Medicaid
NJF03520OtherHEALTHNET
PA0531814000OtherPERSONAL CHOICE
NJ0531814000OtherAMERIHEALTH
NH208039OtherUNIFORMED FAMILY SVCS
NJ38688OtherAETNA
NJP379360OtherOXFORD
NJF03520OtherHEALTHNET
NJP379360OtherOXFORD