Active NPI
Jersey Care OB/GYN LLC
- Obstetrics & Gynecology Physician
- Englishtown, NJ
National Provider Identifier
1043647829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA08547200
- Legal business name
- JERSEY CARE OB/GYN LLC
- Practice address
- 74 Route 9
Suite 4
Englishtown, NJ 07726-9209 - Phone
- (732) 254-8900
- Fax
- (732) 254-8902
- NPI assigned
- Oct 10, 2013
- 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
- Dr. Tatyana Andrews, M.D.
- Title
- Physician
- Phone
- (732) 254-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA08547200 | NJ | Primary |
Addresses
Primary practice location
74 Route 9
Suite 4
Englishtown, NJ 07726-9209
Mailing address
74 Route 9
Suite 4
Englishtown, NJ 07726-9209
Phone (732) 254-8900
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2099743 | Jersey Care OB/GYN | Certificate of waiver | Jul 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
758 State Route 18
Ste 103A
East Brunswick, NJ 08816
Phone (732) 360-9996
Interoperability endpoints
- https://api.platform.athenahealth.com/8073/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Englishtown, NJ
- NPI 1053275677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449446400000",
"number": "1043647829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 ROUTE 9",
"address_2": "SUITE 4",
"city": "ENGLISHTOWN",
"state": "NJ",
"postal_code": "077269209",
"telephone_number": "732-254-8900",
"fax_number": "732-254-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 ROUTE 9",
"address_2": "SUITE 4",
"city": "ENGLISHTOWN",
"state": "NJ",
"postal_code": "077269209",
"telephone_number": "732-254-8900",
"fax_number": "732-254-8902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY CARE OB/GYN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-10",
"last_updated": "2015-12-07",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "TATYANA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "732-254-8900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA08547200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englishtown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.