Jersey Shore Women'S Health, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

JERSEY SHORE WOMEN'S HEALTH, LLC

Practice address

1930 Hwy 35 Ste 3
Wall Township, NJ 07719-3538

Phone

(732) 359-7060

Fax

(732) 359-7058

NPI assigned

Dec 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Didi Salloum

Title

Managing Member

Phone

(732) 359-7060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1356586671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 HWY 35 STE 3",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193538",
            "telephone_number": "732-359-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HWY 35 STE 3",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193538",
            "telephone_number": "732-359-7060",
            "fax_number": "732-359-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE WOMEN'S HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "DIDI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-359-7060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsaiwen Jau, M.A., CCC-SLP
• Madeline Jean-Mary, LSW
• Jersey Coast Physical Therapy Inc.
• Jersey Shore Institute of Health and Wellness
• Jersey Shore Monmouth County Associates
• Gabriella G Jinks, MS, OTR/L
• Jennifer Johansen, APN
• Joseph L. Hvidding
• Dana Kane, LCSW
• Kate Zebrowski

• Gynecology Physician in Wall Township, NJ
• Providers in Wall Township, 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 16, 2008; 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.