Organization Active NPI

Sana Obaid MD Obstetrics Gynecology Inc

  • Gynecology Physician
  • Woodland Park, NJ
National Provider Identifier
1013237791
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA08506600 Issued in NJ
Legal business name
SANA OBAID MD OBSTETRICS GYNECOLOGY INC
Practice address
1130 McBride Ave
Suite C
Woodland Park, NJ 07424-3806
Phone
(973) 785-8400
Fax
(973) 785-8402
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Sana Obaid, MDNPI 1619106671
Title
Owner
Phone
(973) 785-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 25MA08506600 NJ Primary

Addresses

Primary practice location

1130 McBride Ave
Suite C
Woodland Park, NJ 07424-3806

Mailing address

107 Timberline Dr
Wayne, NJ 07470-5558
Phone (973) 785-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127000101 NJ Part B Supplier - Clinic/Group Practice 3072792753 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Park, NJ

National Provider Directory

National Provider Directory

Locations

1130 McBride Ave
Ste C
Woodland Park, NJ 07424
Phone (973) 785-8400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1013237791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TIMBERLINE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705558",
            "telephone_number": "973-785-8400",
            "fax_number": "973-785-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVE",
            "address_2": "SUITE C",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243806",
            "telephone_number": "973-785-8400",
            "fax_number": "973-785-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA OBAID MD OBSTETRICS GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "OBAID",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-785-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA08506600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.