Individual provider Active NPI

Tuti Fareen Sheiban, MD

  • Gynecology Physician
  • Ridgewood, NJ
National Provider Identifier
1245291285
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA08502500 Issued in NJ
Practice address
625 Franklin Tpke
Suite 3
Ridgewood, NJ 07450-1913
Phone
(201) 447-3100
Fax
(201) 447-3400
NPI assigned
Mar 29, 2006
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 025670 LA
Gynecology Physician 207VG0400X 25MA08502500 NJ Primary

Addresses

Primary practice location

625 Franklin Tpke
Suite 3
Ridgewood, NJ 07450-1913

Mailing address

625 Franklin Tpke
Suite 3
Ridgewood, NJ 07450-1913
Phone (201) 447-3100

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

LicenseStateTypeSpecialty
025670LAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Bruce Hebert, MD,Apmllc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1245291285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FRANKLIN TPKE",
            "address_2": "SUITE 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501913",
            "telephone_number": "201-447-3100",
            "fax_number": "201-447-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FRANKLIN TPKE",
            "address_2": "SUITE 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501913",
            "telephone_number": "201-447-3100",
            "fax_number": "201-447-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIBAN",
        "first_name": "TUTI",
        "middle_name": "FAREEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "025670",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA08502500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.