Active NPI
Living Springs Women'S Care, LLC
- Obstetrics Physician
- Passaic, NJ
National Provider Identifier
1114545241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Legal business name
- LIVING SPRINGS WOMEN'S CARE, LLC
- Practice address
- 916 Main Ave Ste 2C
Passaic, NJ 07055-8545 - Phone
- (973) 200-2794
- NPI assigned
- Jul 6, 2020
- 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
- Abiola Mustafa
- Title
- Manager
- Phone
- (973) 200-2794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | Primary |
Addresses
Primary practice location
916 Main Ave Ste 2C
Passaic, NJ 07055-8545
Mailing address
916 Main Ave Ste 2C
Passaic, NJ 07055-8545
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.livingspringswomenscare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Living Springs Women'S Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Passaic, NJ
- NPI 1699334748
Locations
312 Belleville Tpke
Ste 2B
North Arlington, NJ 07031
Phone (201) 991-0211
916 Main Ave
Ste 2C
Passaic, NJ 07055
Phone (973) 200-2794
916 Main Ave
Fl 2
Passaic, NJ 07055
Interoperability endpoints
- https://api.platform.athenahealth.com/21692/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Passaic, NJ
- NPI 1992088082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1114545241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 MAIN AVE STE 2C",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070558545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 MAIN AVE STE 2C",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070558545",
"telephone_number": "973-200-2794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING SPRINGS WOMEN'S CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-06",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A",
"authorized_official_last_name": "MUSTAFA",
"authorized_official_first_name": "ABIOLA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "973-200-2794"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.livingspringswomenscare.com",
"affiliation": "N",
"endpointDescription": "Website Address",
"address_1": "916 Main Ave Ste 2C",
"city": "Passaic",
"state": "NJ",
"country_code": "US",
"postal_code": "070558545",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.