Organization Active NPI

Brielle Obstetrics & Gynecology, PA

  • Obstetrics & Gynecology Physician
  • Manasquan, NJ
National Provider Identifier
1255360343
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1934000000X Issued in NJ
Legal business name
BRIELLE OBSTETRICS & GYNECOLOGY, PA
Practice address
2671 Highway 70
Manasquan, NJ 08736-2605
Phone
(732) 528-6999
Fax
(732) 528-3397
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Ms. Laura J Geiger
Title
Practice Administrator
Phone
(732) 528-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 1934000000X NJ Primary

Addresses

Primary practice location

2671 Highway 70
Manasquan, NJ 08736-2605

Mailing address

2671 Highway 70
Manasquan, NJ 08736-2605
Phone (732) 528-6999

Other identifiers 1

IdentifierTypeStateIssuer
2904900MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2671 Highway 70
Manasquan, NJ 08736
Phone (732) 528-6999

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1255360343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 HIGHWAY 70",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362605",
            "telephone_number": "732-528-6999",
            "fax_number": "732-528-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 HIGHWAY 70",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362605",
            "telephone_number": "732-528-6999",
            "fax_number": "732-528-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIELLE OBSTETRICS & GYNECOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "GEIGER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-528-6999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "1934000000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2904900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.