Ivf New Jersey Fertility & GYN

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Legal business name

IVF NEW JERSEY FERTILITY & GYN

Practice address

81 Veronica Ave
Somerset, NJ 00873

Phone

(732) 220-9060

Fax

(732) 545-1164

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Miller, CPC

Title

Billing Manager

Phone

(732) 220-9060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124197900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "00873",
            "telephone_number": "732-220-9060",
            "fax_number": "732-545-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "00873",
            "telephone_number": "732-220-9060",
            "fax_number": "732-545-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVF NEW JERSEY FERTILITY & GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-220-9060",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.