Provider Demographics
NPI:1912386731
Name:ROBERT WOOD JOHNSON
Entity Type:Organization
Organization Name:ROBERT WOOD JOHNSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEGRI
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:201-661-0906
Mailing Address - Street 1:9101 RAVENSCROFT RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2727
Mailing Address - Country:US
Mailing Address - Phone:201-661-0906
Mailing Address - Fax:
Practice Address - Street 1:9101 RAVENSCROFT RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2727
Practice Address - Country:US
Practice Address - Phone:201-661-0906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00387300282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital