OBGYN ASSOCIATES OF ENGLEWOOD NPI 1033290432

NPI Information

NPI: 1033290432
Provider Name: OBGYN ASSOCIATES OF ENGLEWOOD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 31D0858394

Address:
177 NORTH DEAN STREET
SUITE 208
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 569-0200
Get Directions

OBGYN ASSOCIATES OF ENGLEWOOD is an obstetrics gynecology in Englewood, 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. OBGYN ASSOCIATES OF ENGLEWOOD NPI is 1033290432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

177 NORTH DEAN STREET
SUITE 208
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 569-0200
Fax: (201) 569-8287

The provider's authorized official is Bruce Herman Tisch .
The authorized official title is President and has the following contact phone number (201) 569-0200.

The CLIA number assigned to this NPI record is 31D0858394 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 3/28/2013.

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	207V00000X	Obstetrics & Gynecology		MA31321	NEW JERSEY	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
1	C-58231	MEDICARE UPIN	NEW JERSEY
2	4719301	MEDICAID	NEW JERSEY
3	TI181971	MEDICARE ID-TYPE UNSPECIFIED	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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