Integrative OBGYN Medical LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA70956 Issued in NJ

Legal business name

INTEGRATIVE OBGYN MEDICAL LLC

Practice address

21 McWilliams PL # JC
Jersey City, NJ 07302-1609

Phone

(201) 691-8664

Fax

(201) 487-8601

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Yaakov Abdelhak, MD

Title

President

Phone

(201) 487-8600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1124532064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MCWILLIAMS PL # JC",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021609",
            "telephone_number": "201-691-8664",
            "fax_number": "201-487-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MCWILLIAMS PL # JC",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021609",
            "telephone_number": "201-691-8664",
            "fax_number": "201-487-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE OBGYN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "ABDELHAK",
        "authorized_official_first_name": "YAAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-487-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA70956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jersey City, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.