Organization Active NPI

Doctors on Demand LLC

  • Obstetrics & Gynecology Physician
  • Ledgewood, NJ
National Provider Identifier
1396266615
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA6773500 Issued in NJ
Legal business name
DOCTORS ON DEMAND LLC
Practice address
1 Bari Dr
Ledgewood, NJ 07852-9652
Phone
(201) 686-7598
Fax
(866) 760-4555
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Authorized official

Name
Dr. Trilby J Tener, MD
Title
Member
Phone
(215) 413-1111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 25MA6773500 NJ Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 25MA2527900 NJ
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 25MA02527900 NJ

Addresses

Primary practice location

1 Bari Dr
Ledgewood, NJ 07852-9652

Mailing address

PO Box 314
Ledgewood, NJ 07852-0314
Phone (201) 686-7598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1396266615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078520314",
            "telephone_number": "201-686-7598",
            "fax_number": "866-760-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARI DR",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529652",
            "telephone_number": "201-686-7598",
            "fax_number": "866-760-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS ON DEMAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "TENER",
        "authorized_official_first_name": "TRILBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-413-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA6773500",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA2527900",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA02527900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.