Organization Active NPI

Womens Own OBGYN,LLC

  • Gynecology Physician
  • Englewood, NJ
National Provider Identifier
1285853168
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA07600700 Issued in NJ
Legal business name
WOMENS OWN OBGYN,LLC
Practice address
180 Grand Ave
Englewood, NJ 07631-3578
Phone
(201) 541-6868
Fax
(201) 541-6869
NPI assigned
Apr 25, 2007
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Miss Monica M Nieves
Title
Office Manager
Phone
(201) 541-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA07600700 NJ Primary

Addresses

Primary practice location

180 Grand Ave
Englewood, NJ 07631-3578

Mailing address

62 Buff Rd
Tenafly, NJ 07670-1454
Phone (201) 541-6868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1285853168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BUFF RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701454",
            "telephone_number": "201-541-6868",
            "fax_number": "201-541-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313578",
            "telephone_number": "201-541-6868",
            "fax_number": "201-541-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS OWN OBGYN,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-541-6868",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA07600700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.