Organization Active NPI

OB/GYN Special Care, LLC

  • Obstetrics & Gynecology Physician
  • Elizabeth, NJ
National Provider Identifier
1104152750
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07007000 Issued in NJ
Legal business name
OB/GYN SPECIAL CARE, LLC
Practice address
240 Williamson St
Suite 304
Elizabeth, NJ 07202-3674
Phone
(908) 282-2000
Fax
(908) 282-6660
NPI assigned
Nov 2, 2009
Organization subpart
Yes
Parent organization
CENTER OF ADVANCED PELVIC SURGERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Labib Edison Riachi, MD
Title
President
Phone
(908) 282-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MA07007000 NJ Primary

Addresses

Primary practice location

240 Williamson St
Suite 304
Elizabeth, NJ 07202-3674

Mailing address

240 Williamson St
Suite 304
Elizabeth, NJ 07202-3674
Phone (908) 282-2000

National Provider Directory

National Provider Directory
Part of
Ctr of Advanced Pelvic Surg

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1104152750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 304",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023674",
            "telephone_number": "908-282-2000",
            "fax_number": "908-282-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 304",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023674",
            "telephone_number": "908-282-2000",
            "fax_number": "908-282-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN SPECIAL CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER OF ADVANCED PELVIC SURGERY",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "RIACHI",
        "authorized_official_first_name": "LABIB",
        "authorized_official_middle_name": "EDISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-282-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07007000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.