Important Update: Masking and visitation guidelines have been updated. Click here for details >>

Trinitas Regional Medical Center
  • Get Directions
  • All Locations
  • RWJBarnabas
  • Giving
  • Careers
(908) 994-5000

I want to find

  • I Want to Find

  • A Doctor A Doctor
  • Locations Locations
  • Get Care Get Care
  • Events & Classes Events & Classes
  • Education Department Education Department
  • Billing & Insurances Billing & Insurances
  • Giving Giving
  • MyChart Patient Portal MyChart Patient Portal
  • Close
  • About
    • Back
    • Accreditations, Certifications & Licensure
    • Auxiliary
    • Board of Directors
    • Come Discover Elizabeth
    • Community Health Needs Assessment
    • Health Equity
    • History
    • Medical Staff
    • Mission, Vision & Values
    • Podcasts
    • Publications
    • Volunteer Services
  • Contact Us
    • Back
    • Stay Connected
  • Our Doctors
    • Back
    • How to Choose a Doctor
    • Medical Group
  • Patients & Visitors
    • Back
    • Advance Directives
    • Billing & Pricing
    • Phone Directory
    • e-Cards
    • Gift Shop
    • Image Sharing
    • Maps & Directions
    • Medical Records
    • Nondiscrimination Notices
    • Operation Safe At Trinitas
    • Out-of-Network Information
    • Patient Portal
    • Privacy Notice
    • Public Information Postings
    • Satisfaction and Concerns
    • Support Groups
    • Visiting Hours and Guidelines
  • Treatment & Care
    Specialty Services
    • Back
    • Cancer
    • Heart and Vascular Care
    • Sleep Disorders
    • Women's Health
    • Wound Care
    • Mental Health and Behavioral Health
    • View All Services
    View All Services
    • RWJBarnabas
    • Giving
    • Careers
Menu

I want to find

  • I Want to Find

  • A Doctor A Doctor
  • Locations Locations
  • Get Care Get Care
  • Events & Classes Events & Classes
  • Education Department Education Department
  • Billing & Insurances Billing & Insurances
  • Giving Giving
  • MyChart Patient Portal MyChart Patient Portal
Physician Profile Update Form
For Health Care ProfessionalsCentralized CredentialingUpdate Your Provider Profile

Provider Profile Update Form

If you have any questions regarding this form or a brief update request, please email us at info@rwjbh.org.

menu

Trinitas Regional Medical Center
  • About
    • Accreditations, Certifications & Licensure
    • Auxiliary
    • Board of Directors
    • Come Discover Elizabeth
    • Community Health Needs Assessment
    • Health Equity
      • Buy Local
      • Social Impact and Community Investment
    • History
    • Medical Staff
      • Leadership
    • Mission, Vision & Values
    • Podcasts
    • Publications
    • Volunteer Services
      • Volunteers in Action
      • Nurse Camp At Trinitas
      • Collegiate Medical Mentoring Program
        • Collegiate Medical Mentoring Application
        • Collegiate Medical Mentoring Fact Sheet
  • Contact Us
    • Stay Connected
  • Our Doctors
    • How to Choose a Doctor
    • Medical Group
  • Patients & Visitors
    • Advance Directives
    • Billing & Pricing
    • Phone Directory
    • e-Cards
    • Gift Shop
    • Image Sharing
      • Upload Images as a Guest
    • Maps & Directions
    • Medical Records
      • Image Sharing at RWJBarnabas Health
    • Nondiscrimination Notices
    • Operation Safe At Trinitas
    • Out-of-Network Information
    • Patient Portal
      • MyChart
        • How to Sign Up
        • How to Sign In
        • Download MyChart App
        • MyChart FAQs
    • Privacy Notice
    • Public Information Postings
    • Satisfaction and Concerns
    • Support Groups
    • Visiting Hours and Guidelines
  • Treatment & Care
    • Bloodless Medicine & Surgery
    • Breast Care
      • Request a Mammogram Appointment
    • Cancer
      • Services We Provide
        • Breast Health & You Program
        • Financial Services
        • Genetic Counseling
        • Hematology
        • Made for Me Boutique
        • Medical Oncology & Chemotherapy
        • Radiation Oncology
        • Support Services
        • Surgical Oncology
      • About Cancer
        • Breast Cancer
        • Bone & Spinal Cord Cancer
        • Colorectal & GI Cancer
        • Head & Neck Cancer
        • Leukemia & Lymphoma
        • Lung Cancer
          • Request a Lung Cancer Screening Appointment
        • Multiple Myeloma
      • Clinical Trials
      • Request an Appointment
      • What Patients Are Saying
      • Meet Our Cancer Experts
        • Leadership
    • Celiac Disease
      • Frequently Asked Questions About Celiac Disease
      • Gluten-Free Recipes
    • Diabetes Care
    • Domestic Violence
    • Emergency Room Services
    • Employee and Occupational Health
      • Contact Us
      • Request an Appointment
      • DOT/CDL Physical
      • Employee Assistance Program
      • Executive Health program
      • Forms
      • Our Corporate Care Clients
      • Our Physicians
      • Turnkey Occupational Health Services
      • Why Corporate Care?
        • Clinical Outcomes
        • Employer Savings & Benefits
        • Our Pledge to You
        • Teddy Award Recipient
      • Worker's Compensation Care
        • Prompt Evaluation & Treatment
        • Restrictive Duty: Work During Recovery
        • Sending an Employee
        • Work Readiness
    • Genetic Counseling
    • Heart and Vascular Care
      • Diseases & Conditions
        • Acute Coronary Syndrome
        • Aneurysms
        • Angina
        • Atherosclerosis
        • Atrial Fibrillation
        • Atrial Flutter
        • Blood Clots
        • Cardiac Edema
        • Cardiogenic Shock
        • Cardiac Tamponade
        • Cardiomyopathy
        • Carotid Artery Disease
        • Chronic Venous Insufficiency
        • Coronary Artery Disease
        • Coronary Artery Spams
        • Ehlers-Danlos Syndrome
        • Fibromuscular Dysplasia
        • Heart Arrhythmias
        • Heart Attack
        • Heart Failure
        • Heart Murmurs
        • Heart Palpitations
        • High Blood Pressure
        • High Cholesterol
        • Lymphedema
        • Marfan Syndrome
        • Metabolic Syndrome
        • Myocarditis
        • Premature Atrial Contractions
        • Premature Ventricular Contractions
        • Pericardial Effusion
        • Pericarditis
        • Peripheral Arterial Disease
        • Pregnancy and Heart Disease
        • Pulmonary Embolism
        • Pulmonary Hypertension
        • Raynaud's Disease
        • Renal Artery Stenosis
        • Rheumatic Fever
        • Small Vessel Disease
        • Stroke
        • Sudden Cardiac Arrest
        • Syncope
        • Transient Ischemic Attack
        • Varicose Veins
        • Vasculitis
        • Ventricular Fibrillation
      • Tests & Procedures
        • Angioplasty
        • Atherectomy
        • Cardiac Catheterization
        • Cardioversion
        • Dialysis Access
        • Endarterectomy
        • Imaging Tests
        • Laboratory Tests
        • Non-Imaging Tests
        • Other Medical and Surgical Procedures
        • Stent Placement
        • Thrombectomy/Embolectomy
        • Transcarotid Artery Revascularization (TCAR)
        • Varicose Veins Treatment
      • Programs and Specialties
        • Cardiac Catherization lab
        • Cardiac Rehabilitation Program
        • Cardiac Diagnostic Testing
        • Cardio-Oncology Program
        • Heart Disease in Women
      • Heart Disease Prevention
        • Heart Disease and Alcohol
        • Heart Disease and Exercise
        • Heart Disease and Nutrition
        • Heart Disease and Smoking
        • Heart Disease and Stress
        • Heart Screening Through the Years
      • Request an Appointment
      • Meet Our Team
      • Why Choose Us
        • Quality
        • Our Heart Specialists
    • Home Care
    • Hospice
      • Support Hospice
      • Community Outreach
      • Music and Memory Program
    • HIV/Aids
    • Kidney Care
    • Long Term Care and Rehabilitation
      • Outbreak Response Plan for Long Term Care
    • Maternity
      • Request a Maternity Tour
      • WIC Program
      • Doulas
      • Midwifery
      • Center for Perinatal Mood and Anxiety Disorders
    • Mental Health and Behavioral Health
      • Adult Outpatient Unit
      • Dialectical Behavior Therapy
        • About DBT
          • Comprehensive DBT or DBT Informed?
          • Professional DBT Training
          • Contact Us
        • Adult DBT Program
          • Referral Process
          • Duration of Treatment
          • Family Information
          • FAQs
          • Additional Resources
          • Contact Us
        • Adolescent DBT Program
          • Referral Process
          • Duration of Treatment
          • Family Information
          • FAQs
          • Additional Resources
          • Adolescent DBT Brochure (English)
          • Adolescent DBT Brochure (Spanish)
          • Contact Us
        • Prolonged Exposure Therapy Program
        • The Trinitas DBT Team
      • Domestic Violence
      • Prolonged Exposure Therapy Program
      • Request an Appointment
      • Trauma Response Assessment and Coordination
      • Trinitas CARES Program
        • Welcome to Trinitas CARES
        • About Us
        • Program Components
        • Services We Provide
        • Project ECHO
        • Contact Us
      • Trinitas DSRIP Information
      • Women's Addiction Services
      • Beat The Holiday Blues
    • Occupational Therapy
    • Orthopedics
      • Request an Appointment
      • Conditions & Treatments
        • ACL Tears
        • Achilles Tendon Injury
        • Arthritis
        • Arthroscopy
        • Bursitis
        • Carpal Tunnel
        • Foot and Ankle Pain
        • Fractures
        • Golfer’s Elbow
        • Herniated Discs
        • Hip Dysplasia
        • Knee Pain
        • Neck Pain Treatment
        • Nonsurgical Spinal Treatments
        • Osteoporosis
        • Osteoarthritis
        • Pain Management
        • Pinched Nerve Treatment
        • Plantar Fasciitis
        • Platelet-Rich Plasma Injection
        • Rotator Cuff Tear
        • Scoliosis
        • Shoulder and Elbow Pain
        • Sprains & Strains
        • Tennis Elbow
        • Trigger Finger
        • Torn Meniscus
        • Whiplash
        • Wrist Pain Treatment
      • Orthopedic Rehabilitation
      • Orthopedic Surgery
        • Joint Replacement Surgery
          • Total Joint Replacement Program
          • Total Hip Replacement
            • Dos And Don'ts
            • Pre-Operative Exercises
            • Post Operative Exercises
            • Replacement Returning Home Guide
          • Total Knee Replacement
            • Do's And Don'ts
            • Pre-Operative Exercises
            • Post-Operative Exercises
            • Returning Home Guide
          • Joint Revision Surgery
          • Shoulder Replacement Surgery
      • Medicare Comprehensive Care for Joint Replacement (CJR) Program
      • Radiology and Diagnostic Imaging
      • Sports Medicine
      • Patient Stories
    • Palliative Care
    • Physical Therapy and Rehab Medicine
    • Radiology and Diagnostic Imaging
      • Bone Density Testing
      • Contrast Assessment
      • CT Scan
      • Mammography
        • Gold Standard
      • MRI
      • Ultrasound
      • X-Rays
      • Questionnaires
        • Abdomen Questionnaire
        • Cervical Spine Questionnaire
        • Extremity Questionnaire
        • Head, Brain & IAC Questionnaire
        • Knee Questionnaire
        • Neck & Chest Questionnaire
        • Lumbar Spine Questionnaire
        • Pelvis Questionnaire Female
        • Osteoporosis Questionnaire
        • Thoracic Spine Questionnaire
        • Pelvis Questionnaire Male
      • Contact Us
      • Information Request Notice
    • Senior Health
    • Sleep Disorders
      • Team Approach
      • Appointments
      • Top Sleep Problems
      • Pediatric Sleep Disorders
      • For Physicians
        • Referral Form
      • For Patients, Families, and Employers
      • Narcolepsy
      • Obesity
      • Restless Leg Syndrome
      • Sleep Apnea
      • Sleep Studies
      • Sleep Diary
      • Insomnia
      • Our Process
      • Sleep Quiz
      • Testimonials
    • Spine Care and Back Pain Treatment
      • Request an Appointment
      • Spine Surgery
        • Patient Education
          • What You Need to Know Before Spine Surgery
          • Planning/Preparing for Spine Surgery
          • Your Stay at RWJBH
          • After Surgery
      • Nonsurgical Back Pain Treatment
    • Stroke
    • Surgery
      • Our Process
    • Training Center
      • Classes for RWJBH Hospital Employees
      • Classes for Rutgers Employees
      • Classes Open to the Public
        • Community Classes
          • BLAST! (Babysitter Lessons and Safety Training)
          • Family Friends CPR
          • Heartsaver CPR AED
          • Heartsaver First Aid
          • Heartsaver First Aid CPR AED
          • Heartsaver Pediatric First Aid
        • Workplace Classes
          • Emergency Medical Responder (EMR)
          • Emergency Response Team Drills
          • Oxygen Administration
        • Health Care Provider Classes
      • Contact Us
      • Continuing Education Classes
      • EMT Training Classes
        • EMT Initial Training
      • Find Your Classroom
      • Job Opportunities
      • Paramedic Science Program
    • Women's Health
    • Wound Care
  • Billing
    • Accepted Insurance
    • Charges
    • Financial Reporting
    • Financial Resources
    • Interoperability
    • Medicare
    • No Surprises Medical Billing
    • Online Patient Billing
    • Patient Refunds
    • Pricing Estimate for Services
    • Understanding Health Insurance Benefits and Estimates
  • For Health Care Professionals
    • Centralized Credentialing
      • Application for Privileges
      • Contact Us
      • Credentials Verification Organization Services
      • Credentialing Verifications
      • Frequently Asked Questions for Existing Providers
      • Frequently Asked Questions for New Providers
      • Update Your Provider Profile
      • Careers at RWJBarnabas Health
    • Education Department
      • CPR Classes
      • EMT Training
      • Education Jewels
      • Education Updates
      • School of Nursing
      • Continuing Medical Education
    • Medical Scribes
      • Apply for a Medical Scribe Position
    • Physician Careers
    • Nursing
      • Meet our Nursing Leadership
        • Trinitas Regional Medical Center
      • RWJBarnabas Health School of Nursing
      • The Institute for Nursing Excellence
      • Trinitas School of Nursing
      • Center for Professional Development, Innovation and Research
        • Publications & Research
        • Professional Development Calendar
        • Student Nurse Externship Program
      • NOURISH™ - An Innovative Nursing Orientation Program
      • New Graduate RN Residency
      • Foundations of Nursing Specialty Programs
      • Join our Nursing Team
        • Search Jobs
        • Search Jobs (Active Employees Only)
        • Department of Recruitment & Retention
        • Meet Our Nurses
        • Information Request/Mailing List Subscription for Graduating Nurses
      • System Nursing News
      • Nurses Week
    • Respiratory Therapy
    • Medical Education at Trinitas Regional Medical Center
      • General Psychiatry Residency
        • Curriculum
        • Current Residents
        • Faculty
        • Recent Graduates
        • Photo Gallery
      • Internal Medicine Residency
        • Curriculum
        • Current Residents
        • Faculty
        • Recent Graduates
        • Photo Gallery
      • Podiatry Residency
        • Curriculum
        • Current Residents
        • Faculty
        • Recent Graduates
        • Photo Gallery
  • Giving
    • Foundation Special Events
      • Trinitas Annual Gala
      • Trinitas Races
      • Trinitas Golf Event
      • Peace of Mind Event
      • Running with the Devils
    • Our Board and Staff
    • Donor Impact
    • Ways to Give
      • Cornerstone Club
      • Foundation Employee Giving
      • Season For Hope
      • Youth Campaign for the Children & Three Kings Day
      • Annual Giving
      • Monthly Giving
      • Donate Vehicle
      • Endowment Fund
      • Bequests
      • Planned Gifts
      • Grateful Patient Program
      • Honor Your Hero
      • Restricted Giving
      • Tribute Gift
      • Donate Now
    • Donate Now
  • Education
    • Continuing Medical Education
    • CPR Classes
    • EMT Training
    • Residency Programs
    • School of Nursing
Find A Doctor

Trinitas Regional Medical Center – Williamson Street Campus

225 Williamson St

Elizabeth, NJ 07202 USA

(908) 994-5000 Get Directions
(908) 994-5000

Not finding the treatment you're looking for?

View All Services

Quick Links

  • Contact Us
  • Locations
  • Doctors
  • Get Care
  • Careers
  • Research
  • Education
  • Nursing
  • Languages
  • Giving
  • Volunteer
  • Blog
  • Patient Stories

General Information

  • About Us
  • Quality
  • Facts & Figures
  • Events and Classes
  • Publications
  • News
  • Podcasts
  • Financial Services
  • Site Map
  • Community Health Needs Assessment

Patients & Visitors

  • Advance Directives
  • Maps and Directions
  • Phone Directory
  • Medical Records
  • Patient Portal
  • Pricing Information
  • Price Transparency
  • Comments & Concerns
  • Operation Safe At Trinitas
  • e-Cards

Treatment & Care

  • Cancer
  • Heart & Vascular Care
  • Sleep Disorders
  • Women's Health
  • Wound Care
  • Mental & Behavioral Health
  • Maternity
  • Orthopedics

Employees

  • Employee Login

Health Care Professionals

  • For Health Care Professionals

Local Supplier Diversity

  • Vendor Registration Form

Design and Construction
Bid Opportunities

Language Assistance Available:

English
عربية
Tagalog
Français
ગુુજરાાતીી
Kreyòl Ayisyen
हिन्दीी
Italiano
한국어
中文
Polski
Português
Русский
Español
اردو
(908) 994-5000
225 Williamson St
Elizabeth, NJ 07202 USA
Map + Directions

Need Help?

To speak to someone about choosing a doctor, click here.

(908) 994-5000
Trinitas Regional Medical Center
  • Privacy & Nondiscrimination Notices
  • Languages
  • Legal Disclaimer
  • Research Policy
Trinitas Regional Medical Center © All Rights Reserved
Office Location 225 Williamson St
Elizabeth, NJ 07202
Contact Us (908) 994-5000 Map / Directions