Organization Active NPI

Ocean Gynecological & Obstetrical Associates, PA

  • Obstetrics & Gynecology Physician
  • Lakewood, NJ
National Provider Identifier
1255380283
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OCEAN GYNECOLOGICAL & OBSTETRICAL ASSOCIATES, PA
Practice address
475 Route 70
Lakewood, NJ 08701-5897
Phone
(732) 364-8000
Fax
(732) 364-4601
NPI assigned
May 8, 2006
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Robert E Fabricant, MD
Title
Director
Phone
(732) 364-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

475 Route 70
Lakewood, NJ 08701-5897

Mailing address

PO Box 8000
Dept 797
Buffalo, NY 14267-0002
Phone (866) 295-0041

Other identifiers 1

IdentifierTypeStateIssuer
2664500MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1255380283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "address_2": "DEPT 797",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "866-295-0041",
            "fax_number": "732-557-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015897",
            "telephone_number": "732-364-8000",
            "fax_number": "732-364-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN GYNECOLOGICAL & OBSTETRICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "FABRICANT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-364-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2664500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.