NV Medical Aesthetics

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NV MEDICAL AESTHETICS

Practice address

1777 Hamburg Tpke Ste 302
Wayne, NJ 07470-5243

Phone

(973) 773-2039

Fax

(973) 773-2038

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 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

Fred Yarazavi

Title

Billing Manager

Phone

(973) 773-2037

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1306507694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE STE 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-773-2039",
            "fax_number": "973-773-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE STE 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-773-2039",
            "fax_number": "973-773-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NV MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "YARAZAVI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-773-2037"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.