Prospect Women's Health Center, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1270009 Issued in NJ

Legal business name

PROSPECT WOMEN'S HEALTH CENTER, LLC

Practice address

77 Prospect Ave
1B
Hackensack, NJ 07601-1913

Phone

(201) 342-7002

Fax

(201) 342-7055

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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. Waleed Mohamed Abdelghani, M.D.

Title

Officer

Phone

(201) 342-7002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023162385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PROSPECT AVE",
            "address_2": "SUITE#1B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-342-7002",
            "fax_number": "201-342-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PROSPECT AVE",
            "address_2": "1B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011913",
            "telephone_number": "201-342-7002",
            "fax_number": "201-342-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT WOMEN'S HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDELGHANI",
        "authorized_official_first_name": "WALEED",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "201-342-7002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "1270009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progress ABA Institute
• Progressive Medical Imaging of Hackensack, LLC (Progressive Open MRI)
• Progressive Pediatric Endocrine
• Prospect Medical PC
• Prospect Psychiatric Services Limited Liability Company
• Prospect Women's Medical Center
• Prospect Women's Medical Group, P.C.
• Tracy Ann Proverbs-Singh, M.D.
• Aleksandar Prvulovic
• Psychiatric Associates LLP

• Health Service Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.