ADVANCED OBSTETRIC & GYN LLC NPI 1205882602

NPI Information

NPI: 1205882602
Provider Name: ADVANCED OBSTETRIC & GYN LLC

Other Name: ADVANCED OBSTETRICS & GYNECOLOGY, LLC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
4 WALTER E FORAN BLVD
SUITE 302
FLEMINGTON, NJ
ZIP 08822
Phone: (908) 806-0080
Get Directions

ADVANCED OBSTETRIC & GYN LLC is an obstetrics gynecology in Flemington, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ADVANCED OBSTETRIC & GYN LLC NPI is 1205882602. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advanced Obstetrics & Gynecology, Llc.

The provider's business location address is:

4 WALTER E FORAN BLVD
SUITE 302
FLEMINGTON, NJ
ZIP 08822-664
Phone: (908) 806-0080
Fax: (908) 806-8570

The provider's authorized official is Seth M Rubin .
The authorized official title is Owner/partner and has the following contact phone number (908) 625-7002.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist			NEW JERSEY	No
2	207V00000X	Obstetrics & Gynecology				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2A6047	OTHER		PTAN
2	8597707	MEDICAID	NEW JERSEY
3	002785927001	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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