NPIMap

Organization Active NPI

Saint Clare'S Primary Care, Inc.

  • Gynecologic Oncology Physician
  • Denville, NJ
National Provider Identifier
1306178348
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
25MA08608900 Issued in NJ
Legal business name
SAINT CLARE'S PRIMARY CARE, INC.
Practice address
16 Pocono Rd
Suite 216
Denville, NJ 07834-2901
Phone
(973) 983-5602
Fax
(973) 627-2689
NPI assigned
Feb 1, 2010
Organization subpart
Yes
Parent organization
SAINT CLARE'S COMMUNITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Fred Hammond
Title
Evp/Cfo
Phone
(973) 983-5245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X 25MA08608900 NJ Primary

Addresses

Primary practice location

16 Pocono Rd
Suite 216
Denville, NJ 07834-2901

Mailing address

66 Ford Rd
Suite 101
Denville, NJ 07834-1379
Phone (973) 983-1602

National Provider Directory

National Provider Directory
Tax ID family
Tri County Biomedical L2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

66 Ford Rd
Ste 101
Denville, NJ 07834

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1306178348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FORD RD",
            "address_2": "SUITE 101",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341379",
            "telephone_number": "973-983-1602",
            "fax_number": "973-983-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 216",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-983-5602",
            "fax_number": "973-627-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLARE'S PRIMARY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT CLARE'S COMMUNITY CARE",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "973-983-5245"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NJ",
            "license": "25MA08608900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.