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

Rutgers, the State University of New Jersey

Organization Sports Medicine (Family Medicine) Physician · NPI 1710117437

Rutgers, the State University of New Jersey is a Sports Medicine (Family Medicine) Physician in Piscataway, New Jersey. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1 Scarlet Knight Way
Piscataway, NJ 08854-8069
Phone: (732) 445-6258
Fax: (732) 445-2780
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1710117437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Jeitner — Athletic Insurance Coordinator · (732) 445-6258
Other names Rutgers University Sports Medicine
NPI enumeratedJuly 15, 2009
Last updated in NPPESJuly 15, 2009
Mailing addressPo Box 168007, Irving, TX 75016-8007