Active NPI
Verona Women'S Health
- Obstetrics & Gynecology Physician
- Verona, NJ
National Provider Identifier
1124490487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MB09345700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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.