Active NPI
Michael D Vardy Gynecology and Urogynecology, LLC
- Gynecology Physician
- Englewood, NJ
National Provider Identifier
1023264140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MA07428500
- Legal business name
- MICHAEL D VARDY GYNECOLOGY AND UROGYNECOLOGY, LLC
- Practice address
- 350 Engle St
5 West
Englewood, NJ 07631-1808 - Phone
- (917) 504-0415
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael D Vardy, MD
- Title
- President
- Phone
- (646) 345-5249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 25MA07428500 | NJ | Primary |
Addresses
Primary practice location
350 Engle St
5 West
Englewood, NJ 07631-1808
Mailing address
7 Park St
Tenafly, NJ 07670-2217
Phone (917) 504-0415
National Provider Directory
National Provider DirectoryLocations
350 Engle St
#5W
Englewood, NJ 07631
Phone (201) 894-3690
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1487395026
-
- Gynecologic Oncology Physician
- Purchase, NY
- NPI 1376593301
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1518194208
-
- Gynecologic Oncology Physician
- New York, NY
- NPI 1780635680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1023264140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PARK ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702217",
"telephone_number": "917-504-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"address_2": "5 WEST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311808",
"telephone_number": "917-504-0415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL D VARDY GYNECOLOGY AND UROGYNECOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-08",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "VARDY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-345-5249",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "25MA07428500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
- Wade Metro, MD
- Metropolitan Anesthesia Group LLC
- Metropolitan Neurosurgery Associates, PC
- Metropolitan Surgical Associates Inc. Dba Metropolitan Medical Assoc
- Victoria Meyerov, NP
- Oren Michaeli, D.O
- Julita Michalowska
- Kathryn M Michelotti, DNP APRN FNP-BC CCRN
- Anne Judith Miller-Breslow, MD
- Adina Miller, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.