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PROSPECT WOMEN'S MEDICAL GROUP P.C. NPI 1760719793


NPI Information

NPI: 1760719793
Provider Name: PROSPECT WOMEN'S MEDICAL GROUP, P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
120 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-1600
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PROSPECT WOMEN'S MEDICAL GROUP, P.C. is an obstetrics gynecology in Hackensack, 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. PROSPECT WOMEN'S MEDICAL GROUP, P.C. NPI is 1760719793. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601-256
Phone: (201) 342-1600
Fax: (201) 342-2280

The provider's authorized official is Robin H. Levat .
The authorized official title is President and has the following contact phone number (201) 342-1600.

The enumeration date for this NPI number is 11/12/2009 and was last updated on 11/12/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics25MA05630700NEW JERSEYNo
2208600000XSurgery25MA05630700NEW JERSEYNo
3207V00000XObstetrics & Gynecology25MA05630700NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1527769MEDICARE UPINNEW 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: 11/14/2023

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