Active NPI
Urogynecology Services at Saint
- Obstetrics & Gynecology Physician
- Livingston, NJ
National Provider Identifier
1104874882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- UROGYNECOLOGY SERVICES AT SAINT
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 322-9998
- Fax
- (973) 322-8064
- NPI assigned
- May 4, 2006
- 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
- Mr. Patrick Ahearn
- Title
- Director
- Phone
- (732) 557-7119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
PO Box 15305
Newark, NJ 07192-5305
Phone (732) 557-7160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047279 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Livingston, NJ
- NPI 1780652990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1104874882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15305",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071925305",
"telephone_number": "732-557-7160",
"fax_number": "732-557-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-9998",
"fax_number": "973-322-8064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROGYNECOLOGY SERVICES AT SAINT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "AHEARN",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-557-7119",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0047279",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
- Universal Rehabilitation & Fitness Center Inc
- Universal Rehabilitation & Fitness Center Inc
- Universal Rehabilitation and Fitness, Inc.
- Ur Sleep & Pulmonary Associates
- Renee Urban, PT
- Urology & Sexual Health Institute, PA
- Chinonyerem E Uwakwe
- Chinenye Uzosike
- Nicholas Vacca
- Annette Marie Vaccaro, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.