NPIMap

Organization Active NPI

Ladies Choice Obstetrics & Gynecology PC

  • Obstetrics & Gynecology Physician
  • Galloway, NJ
National Provider Identifier
1144373846
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04119400 Issued in NJ
Legal business name
LADIES CHOICE OBSTETRICS & GYNECOLOGY PC
Practice address
314 Chris Gaupp Dr
Suite 101
Galloway, NJ 08205-4464
Phone
(609) 404-1400
NPI assigned
Jan 18, 2007
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Sherilyn Bredin, M.D.
Title
Owner
Phone
(609) 404-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MA04119400 NJ Primary

Addresses

Primary practice location

314 Chris Gaupp Dr
Suite 101
Galloway, NJ 08205-4464

Mailing address

314 Chris Gaupp Dr
Suite 101
Galloway, NJ 08205-4464
Phone (609) 404-1400

Other identifiers 1

IdentifierTypeStateIssuer
0400334000OtherNJAMERIHEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1144373846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CHRIS GAUPP DR",
            "address_2": "SUITE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054464",
            "telephone_number": "609-404-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHRIS GAUPP DR",
            "address_2": "SUITE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054464",
            "telephone_number": "609-404-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADIES CHOICE OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "BREDIN",
        "authorized_official_first_name": "SHERILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-404-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04119400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0400334000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.