Active NPI
Khatoon T Ginwala, MD
- Obstetrics & Gynecology Physician
- Delran, NJ
National Provider Identifier
1235169202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA34108
- Practice address
- 5045 Route 130
Suite I
Delran, NJ 08075-9707 - Phone
- (856) 764-7660
- Fax
- (856) 764-5723
- NPI assigned
- Jul 4, 2006
- Last updated
- Feb 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA34108 | NJ | Primary |
Addresses
Primary practice location
5045 Route 130
Suite I
Delran, NJ 08075-9707
Mailing address
5045 Route 130
Suite I
Delran, NJ 08075-9707
Phone (856) 764-7660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3721302 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA34108 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance OB GYN Consultants LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Alliance Surgery Center | Past | Accepting new patients | |
| Integrity Anesthesia Group, PC | Past | Accepting new patients |
Interoperability endpoints
- khatoon.ginwala@nj005.digichart.direct-ci.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Delran, NJ
- NPI 1013061381
-
- Ambulatory Surgical Clinic/Center
- Hainesport, NJ
- NPI 1386000529
-
- Anesthesiology Physician
- Manasquan, NJ
- NPI 1649635624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233878400000",
"number": "1235169202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 ROUTE 130",
"address_2": "SUITE I",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080759707",
"telephone_number": "856-764-7660",
"fax_number": "856-764-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 ROUTE 130",
"address_2": "SUITE I",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080759707",
"telephone_number": "856-764-7660",
"fax_number": "856-764-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINWALA",
"first_name": "KHATOON",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2009-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA34108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3721302",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delran, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.