Central Park

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

CENTRAL PARK

Doing business as

Central Park

Practice address

280 Kennedy Blvd
Bayonne, NJ 07002-1234

Phone

(646) 391-3414

Fax

(212) 974-0493

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Shahnoz Rustamova, MD

Title

Medical Doctor

Phone

(646) 391-3414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Park Doing business as

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1174129803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021234",
            "telephone_number": "646-391-3414",
            "fax_number": "212-974-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021234",
            "telephone_number": "646-391-3414",
            "fax_number": "212-974-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "RUSTAMOVA",
        "authorized_official_first_name": "SHAHNOZ",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "646-391-3414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Giulia C Catanzariti, M.A
• Oliva Cabatuando Cebrian, MD
• Margaret Cecchini
• Center for Pain Relief, LLC
• Center for Womens Health LLC
• Central Park Diagnostic Inc
• Central Park Medical Practice, PC
• David Calvin Cephus, LMSW
• David Cha
• Vikash Reddy Chadive

• Gynecology Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.