Organization Active NPI

Verona Women'S Health

  • Obstetrics & Gynecology Physician
  • Verona, NJ
National Provider Identifier
1124490487
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB09345700 Issued in NJ
Legal business name
VERONA WOMEN'S HEALTH
Practice address
799 Bloomfield Ave
Ste 301
Verona, NJ 07044-1367
Phone
(973) 826-4920
Fax
(973) 826-4924
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Anna M Conklin
Title
Billing Manager/Credentialing Coord
Phone
(973) 209-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MB09345700 NJ Primary

Addresses

Primary practice location

799 Bloomfield Ave
Ste 301
Verona, NJ 07044-1367

Mailing address

759 Bloomfield Ave
Ste 206
West Caldwell, NJ 07006-6701

National Provider Directory

National Provider Directory

Locations

799 Bloomfield Ave
Ste 301
Verona, NJ 07044
Phone (973) 744-7111

759 Bloomfield Ave
West Caldwell, NJ 07006

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1124490487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 BLOOMFIELD AVE",
            "address_2": "STE 206",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE",
            "address_2": "STE 301",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441367",
            "telephone_number": "973-826-4920",
            "fax_number": "973-826-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONA WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER/CREDENTIALING COORD",
        "authorized_official_telephone_number": "973-209-0322"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09345700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.