Renaissance Gynecology & Infertility Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MA060475 Issued in NJ

Legal business name

RENAISSANCE GYNECOLOGY & INFERTILITY CENTER

Practice address

4 Progress St Ste B4
Edison, NJ 08820-1199

Phone

(908) 668-9900

Fax

(908) 668-9922

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robin Freeman-Bragg, MD

Title

Owner

Phone

(908) 668-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1386820173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7245",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070677245",
            "telephone_number": "908-668-9900",
            "fax_number": "908-668-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROGRESS ST STE B4",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201199",
            "telephone_number": "908-668-9900",
            "fax_number": "908-668-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE GYNECOLOGY & INFERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "FREEMAN-BRAGG",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-668-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA060475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043354",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Edison, NJ
• Providers in Edison, 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 Feb 10, 2009; 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.