Womens Healthcare Pavillion PA

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

25MP00118500 Issued in NJ

Legal business name

WOMENS HEALTHCARE PAVILLION PA

Practice address

200 Perrine Rd
Suite 204
Old Bridge, NJ 08857-2842

Phone

(732) 707-3545

Fax

(732) 707-3546

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Ant K Nischal, P.A.

Title

Manager

Phone

(732) 707-3545

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.

• Toni M Otway, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1164500302
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1063649168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 204",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-707-3545",
            "fax_number": "732-707-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 204",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-707-3545",
            "fax_number": "732-707-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTHCARE PAVILLION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "NISCHAL",
        "authorized_official_first_name": "ANT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-707-3545",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "25MP00118500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Ryan Willis
• Terrance T Winn, MD
• Winter Wellness
• Winter Wellness Acupuncture
• Courtney Elizabeth Winter, L. AC.
• Sze Ho Wong, M.D.
• Justin Woo, PT, DPT
• Sterling Silver Woods Jr.
• Nancy Wunderlich, M.S.,CCC/SLP
• Barbara Wyczesany, NP-C

• Point of Service in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Point of Service in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.