Organization Active NPI

Brick Women'S Physicians

  • Obstetrics & Gynecology Physician
  • Manasquan, NJ
National Provider Identifier
1396017000
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BRICK WOMEN'S PHYSICIANS
Practice address
87 Union Ave
Manasquan, NJ 08736-3633
Phone
(732) 202-0700
Fax
(732) 202-0664
NPI assigned
Jan 27, 2012
Organization subpart
Yes
Parent organization
BRICK WOMEN'S PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Donna Richardson
Title
Supervisor
Phone
(732) 202-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

87 Union Ave
Manasquan, NJ 08736-3633

Mailing address

87 Union Ave
Manasquan, NJ 08736-3633
Phone (732) 202-0700

Other identifiers 1

IdentifierTypeStateIssuer
8646708MedicaidNJ

National Provider Directory

National Provider Directory
Part of
Brick Womens Physicians

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1396017000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 UNION AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363633",
            "telephone_number": "732-202-0700",
            "fax_number": "732-202-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 UNION AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363633",
            "telephone_number": "732-202-0700",
            "fax_number": "732-202-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK WOMEN'S PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRICK WOMEN'S PHYSICIANS",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "732-202-0700"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8646708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.