Organization Active NPI

Lavish the Center for Women'S Health and Rejuvenation LLC

  • Gynecology Physician
  • Hoboken, NJ
National Provider Identifier
1235941105
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
LAVISH THE CENTER FOR WOMEN'S HEALTH AND REJUVENATION LLC
Practice address
330 Washington St Ste 301
Hoboken, NJ 07030-4883
Phone
(908) 398-2505
Fax
(908) 498-5104
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Dr. Dineasha Potter-McQuilkinNPI 1093021263
Title
Physician
Phone
(908) 398-2505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

330 Washington St Ste 301
Hoboken, NJ 07030-4883

Mailing address

330 Washington St Ste 301
Hoboken, NJ 07030-4883
Phone (908) 398-2505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1235941105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST STE 301",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304883",
            "telephone_number": "908-398-2505",
            "fax_number": "908-498-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST STE 301",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304883",
            "telephone_number": "908-398-2505",
            "fax_number": "908-498-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVISH THE CENTER FOR WOMEN'S HEALTH AND REJUVENATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "POTTER-MCQUILKIN",
        "authorized_official_first_name": "DINEASHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-398-2505",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.