Active NPI
PRM Gynecology of New Jersey PC
- Gynecology Physician
- Englewood, NJ
National Provider Identifier
1396362273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- PRM GYNECOLOGY OF NEW JERSEY PC
- Doing business as
- Pelvic Rehabilitation Medicine
- Practice address
- 106 Grand Ave Ste 435
Englewood, NJ 07631-3574 - Phone
- (201) 266-3553
- Fax
- (201) 266-3545
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Solimine
- Title
- VP of Operations
- Phone
- (207) 752-0388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
106 Grand Ave Ste 435
Englewood, NJ 07631-3574
Mailing address
106 Grand Ave Ste 435
Englewood, NJ 07631-3574
Phone (201) 266-3553
Other names 1
- Pelvic Rehabilitation Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Montclair, NJ
- NPI 1184887853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593129600000",
"number": "1396362273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 GRAND AVE STE 435",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313574",
"telephone_number": "201-266-3553",
"fax_number": "201-266-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 GRAND AVE STE 435",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313574",
"telephone_number": "201-266-3553",
"fax_number": "201-266-3545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRM GYNECOLOGY OF NEW JERSEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A",
"authorized_official_last_name": "SOLIMINE",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "207-752-0388"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pelvic Rehabilitation Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.