Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Rutgers, the State University of New Jersey

Organization Family Medicine Physician · NPI 1619115086

Rutgers, the State University of New Jersey provides Family Medicine Physician services in New Brunswick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
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Practice location Address checks out

11 Bishop Pl
New Brunswick, NJ 08901-1178 Not confirmed with CMS for 17 years — call before visiting
Phone: (732) 932-7402
Fax: (732) 932-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA07568400 (NJ)

Record details

NPI number1619115086
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRutgers, the State University of New Jersey
Authorized official Melodee Lasky — Executive Director · (732) 932-7402
Other names Rutgers Health Services
NPI enumeratedJanuary 23, 2009
Last updated in NPPESJanuary 23, 2009
Mailing addressPo Box 5199, Abilene, TX 79608-5199

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