Provider Demographics
NPI:1902344047
Name:ROTHMAN INSTITUTE OF NEW JERSEY
Entity Type:Organization
Organization Name:ROTHMAN INSTITUTE OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-339-3680
Mailing Address - Street 1:9 BROADWAY
Mailing Address - Street 2:CAPE MAY COURT HOUSE
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1937
Mailing Address - Country:US
Mailing Address - Phone:800-821-9999
Mailing Address - Fax:
Practice Address - Street 1:9 BROADWAY
Practice Address - Street 2:CAPE MAY COURT HOUSE
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1937
Practice Address - Country:US
Practice Address - Phone:800-821-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROTHMAN INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier