Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rutgers, That State University of New Jersey

Organization Molecular Genetic Pathology (Medical Genetics) Physician · NPI 1699365445

Rutgers, That State University of New Jersey is a Molecular Genetic Pathology (Medical Genetics) Physician in Newark, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

225 Warren Street Rbl 2140
Newark, NJ 07103
Phone: (973) 972-3170
Fax: (973) 972-0795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Molecular Genetic Pathology (Medical Genetics) Physician Taxonomy 207SM0001X

Record details

NPI number1699365445
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRutgers, That State University of New Jersey
Authorized official Deanna Streck — Laboratory Supervisor · (973) 972-3170
Other names Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab; Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab
NPI enumeratedJanuary 25, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address185 S Orange Ave # Msbf656, Newark, NJ 07103-2757