Organization Active NPI

Women Physician LLC

  • Obstetrics Physician
  • Jersey City, NJ
National Provider Identifier
1063916716
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
25MA09456200 Issued in NJ
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

Updated by the provider on Jul 2, 2020

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)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.