Active NPI
Christopher Iwanoff, D.O.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Eatontown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 25MB09714700
- Practice address
- 200 Wyckoff Rd Ste 3300
Eatontown, NJ 07724-0198 - Phone
- (732) 571-0672
- NPI assigned
- Jun 7, 2011
- Last updated
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | OP60961030 | WA | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 25MB09714700 | NJ | Primary |
Addresses
Primary practice location
200 Wyckoff Rd Ste 3300
Eatontown, NJ 07724-0198
Mailing address
200 Wyckoff Rd Ste 3300
Eatontown, NJ 07724-0198
Other practice location 1
99 NJ-37
Toms River, NJ 08755
Phone (732) 557-8000
Other practice location 2
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Wyckoff Rd
Suite 3300
Eatontown, NJ 07724-1927
Phone (732) 571-0972
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
200 Wyckoff Rd
Ste 3300
Eatontown, NJ 07724
Phone (732) 571-0672
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
dba Providence Community Care Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olympia, WA
- NPI 1023550050
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1174817118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WYCKOFF RD STE 3300",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077240198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WYCKOFF RD STE 3300",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077240198",
"telephone_number": "732-571-0672"
}
],
"practiceLocations": [
{
"address_1": "99 NJ-37",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "08755",
"country_code": "US",
"telephone_number": "732-557-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 2nd Ave",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "07740",
"country_code": "US",
"telephone_number": "732-222-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IWANOFF",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "WA",
"license": "OP60961030",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NJ",
"license": "25MB09714700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.