Roseland Obstetrics & Gynecology, PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

25MA05372700 Issued in NJ

Legal business name

ROSELAND OBSTETRICS & GYNECOLOGY, PA

Practice address

775 Mountain Blvd
Suite 107
Watchung, NJ 07069-6262

Phone

(973) 704-0022

Fax

(973) 740-2344

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Deangelis, M.D.

Title

Physician

Phone

(973) 740-0022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1154594042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 MOUNTAIN BLVD",
            "address_2": "SUITE 107",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696262",
            "telephone_number": "973-704-0022",
            "fax_number": "973-740-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 MOUNTAIN BLVD",
            "address_2": "SUITE 107",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696262",
            "telephone_number": "973-704-0022",
            "fax_number": "973-740-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAND OBSTETRICS & GYNECOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-740-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "25MA05372700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.