Provider Demographics
NPI:1720070469
Name:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Entity Type:Organization
Organization Name:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Other - Org Name:RWJ OB GYN AT HAMILTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, SR VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-584-6402
Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-631-6899
Mailing Address - Fax:609-631-6898
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-631-6899
Practice Address - Fax:609-631-6898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1323279OtherUNITED HEALTHCARE
NJ0859637000OtherAMERIHEALTH
NJ24727OtherAMERIGROUP
NJ7284900Medicaid
NJ0539469OtherAETNA USHC
NJ11208OtherUNIVERSITY HEALTHPLAN
NJ1045160OtherHORIZON NJ HEALTH
NJC16816OtherRAILROAD MEDICARE
NJ815051Medicare ID - Type Unspecified