Pregmune Medical PA

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Legal business name

PREGMUNE MEDICAL PA

Practice address

308 Willow Ave
Hoboken, NJ 07030-3808

Phone

(516) 584-8710

Fax

(516) 584-8711

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Andrea MD Vidali, MD

Title

President/Owner

Phone

(516) 584-8710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1265014583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 GROVE STREET",
            "address_2": "PMB 60570",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "516-584-8710",
            "fax_number": "516-584-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "516-584-8710",
            "fax_number": "516-584-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREGMUNE MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "VIDALI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-584-8710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Power Health & Wellness LLC
• Colleen Marie Powers, LCSW
• Ecio Carlos Pozzi, D.D.S
• Precious Care NJ LLC
• Precise Medical Solutions LLC
• Premier Specialty Pharmacy LLC
• Alina Prescornita, PT
• Kasey Prime
• Priority Chiropractic
• Professional Occupational & Physical Therapy, PLLC

• Reproductive Endocrinology Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Reproductive Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.