Active NPI
Women Physician LLC
- Obstetrics Physician
- Jersey City, NJ
National Provider Identifier
1063916716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 25MA09456200
- Legal business name
- WOMEN PHYSICIAN LLC
- Practice address
- 840 Bergen Ave
Jersey City, NJ 07306-4507 - Phone
- (201) 333-8002
- Fax
- (201) 321-2313
- NPI assigned
- Mar 19, 2018
- 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
- Gehan Ibrahim, MD
- Title
- Physician
- Phone
- (202) 222-2686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 25MA09456200 | NJ | Primary |
Addresses
Primary practice location
840 Bergen Ave
Jersey City, NJ 07306-4507
Mailing address
168 Lawrence Ave
Hasbrouck Heights, NJ 07604-1426
Phone (201) 333-8002
Other practice location 1
35 Journal Sq Ste 822
Jersey City, NJ 07306-4024
Phone (201) 222-2682
National Provider Directory
National Provider DirectoryLocations
196 Paterson Ave
Fl 3
East Rutherford, NJ 07073
35 Journal Sq
Ste 822
Jersey City, NJ 07306
Phone (201) 222-2682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593648000000",
"number": "1063916716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 LAWRENCE AVE",
"city": "HASBROUCK HEIGHTS",
"state": "NJ",
"postal_code": "076041426",
"telephone_number": "201-333-8002",
"fax_number": "201-321-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 BERGEN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064507",
"telephone_number": "201-333-8002",
"fax_number": "201-321-2313"
}
],
"practiceLocations": [
{
"address_1": "35 Journal Sq Ste 822",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073064024",
"country_code": "US",
"telephone_number": "201-222-2682",
"fax_number": "201-222-2692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WOMEN PHYSICIAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-19",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "GEHAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "202-222-2686",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NJ",
"license": "25MA09456200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.