New GW LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NEW GW LLC

Practice address

385 Route 18 Ste H
East Brunswick, NJ 08816-5703

Phone

(732) 698-9300

Fax

(732) 254-0786

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Anne Ettenhuber

Title

Practice Manager

Phone

(732) 698-9300

Specialties & licenses 1

Addresses

Tax ID family

New GW LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New GW LLC

  • Ophthalmology Physician
  • East Brunswick, NJ
  • NPI 1508375353
  NPD tax ID

Locations

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1063929545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 ROUTE 18 STE H",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-698-9300",
            "fax_number": "732-254-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 ROUTE 18 STE H",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-698-9300",
            "fax_number": "732-254-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "ETTENHUBER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "732-698-9300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monique D Nembhard
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• Ophthalmology Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.