Englewood Physician'S Group LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ENGLEWOOD PHYSICIAN'S GROUP LLC

Practice address

40 Engle St
Englewood, NJ 07631-2905

Phone

(201) 567-0522

Fax

(201) 567-5955

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Isabelle Tarikyan

Title

Cfo

Phone

(201) 567-0522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constantine George Binas, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1427066257
  Medicare reassignment NPD
• Keith Gresham, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1063599215
  Medicare reassignment NPD
• Vladimir Kilinsky, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1942218623
  Medicare reassignment NPD
• Nicholas Kotopoulos, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1023140100
  Medicare reassignment NPD
• Richard M Lieblich, M.D.

  • Gynecology Physician
  • Cherry Hill, NJ
  • NPI 1811953227
  Medicare reassignment NPD

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1235363045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-567-0522",
            "fax_number": "201-567-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-567-0522",
            "fax_number": "201-567-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD PHYSICIAN'S GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "TARIKYAN",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-567-0522",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Englewood OBGYN Womens Group, P.a.
• Englewood Orthopedics Group PC
• Englewood Pain Center, P.a.
• Englewood Pain Group PC
• Englewood Pathologists, PA
• Englewood Psychotherapy and Wellness, LLC
• Englewood Radiation Oncology, LLC
• Englewood Radiologic Group P a
• Englewood Speech Therapy LLC
• Englewood Spine Associates LLC

• Obstetrics & Gynecology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.