North Jersey Gynecology Associates LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

NORTH JERSEY GYNECOLOGY ASSOCIATES LLC

Practice address

800 Kinderkamack Rd Ste 204S
Oradell, NJ 07649-1534

Phone

(201) 932-2051

NPI assigned

Sep 28, 2022

Last updated

Dec 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Faina Gelman-Nisanov, MDNPI 1407260334

Title

Director

Phone

(718) 290-6070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faina Gelman-Nisanov, M.D.

  • Obstetrics & Gynecology Physician
  • Oradell, NJ
  • NPI 1407260334
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1265156764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 204S",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491534",
            "telephone_number": "201-932-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 204S",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491534",
            "telephone_number": "201-932-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY GYNECOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "GELMAN-NISANOV",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-290-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Howard Jack Novack, DDS
• Ryan J Oconnor, DPT
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• Elona Olevsky, LAC
• Omic Inc (Oradel Medical Imaging)

• Gynecology Physician in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.