Lorraine Eva Driscoll, M.D.

Key facts

NPI

1104847979

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

25MA04781200 (NJ)

Practice address

9 Ridge Rd
Rutherford, NJ 07070-2020

Phone

(201) 618-9669

Fax

(201) 933-7901

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104847979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RIDGE RD",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RIDGE RD",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702020",
            "telephone_number": "201-618-9669",
            "fax_number": "201-933-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "LORRAINE",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04781200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

• Mary Keely Doherty, OT
• Edward Dominguez, D.M.D
• Donna J Corbett LCSW and Associates
• Dr Row DDS LLC
• Dr. Robert Schorn Purnell LLC
• Michael Stephen Dugan
• Gina Forte Duprey, M.S. CCC-SLP
• Dynamic Peak Physical Therapy PT Pta
• Mostafa Aly El Khashab, M.D
• Elena L. Monks, OD Inc.

All providers in Rutherford, NJ · Obstetrics & Gynecology Physician in New Jersey