Provider Demographics
NPI:1902848625
Name:ROBERT WOOD JOHNSON MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:ROBERT WOOD JOHNSON MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERSHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-937-8897
Mailing Address - Street 1:3 EXECUTIVE DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4007
Mailing Address - Country:US
Mailing Address - Phone:732-369-5965
Mailing Address - Fax:732-369-5993
Practice Address - Street 1:1 ROBERT WOOD JOHNSON PL
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1928
Practice Address - Country:US
Practice Address - Phone:732-235-7840
Practice Address - Fax:732-235-7048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5595676OtherAETNA PPO GROUP #
NJ0142345000OtherAMERIHEALTH GROUP # EDISO
NJ2078417OtherAETNA HMO GROUP #
NJ7172702Medicaid
NJCJ3781OtherRAILROAD MEDICARE GROUP #
NJ0142345004OtherAMERIHEALTH GROUP # MONRO
NJ5595676OtherAETNA PPO GROUP #