Complete Women's Healthcare LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA07921300 Issued in NJ

Legal business name

COMPLETE WOMEN'S HEALTHCARE LLC

Practice address

200 Engle St
Suite 14
Englewood, NJ 07631-2440

Phone

(201) 735-5700

Fax

(201) 735-5750

NPI assigned

Nov 10, 2009

Last updated

Aug 7, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marina Jacobson, MDNPI 1831145473

Title

Owner

Phone

(201) 735-5700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina Jacobson, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1831145473
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1003143108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 14",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-735-5700",
            "fax_number": "201-735-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 14",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-735-5700",
            "fax_number": "201-735-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WOMEN'S HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-735-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07921300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Englewood, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.