Bergen Women OB GYN Assoc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BERGEN WOMEN OB GYN ASSOC

Practice address

466 Old Hook Rd
Ste 21
Emerson, NJ 07630

Phone

(201) 262-8777

Fax

(201) 262-4693

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mrudula S Shukla, MDNPI 1285671651

Title

President

Phone

(201) 262-8777

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mrudula S Shukla, MD OBGYN

  • Obstetrics & Gynecology Physician
  • Emerson, NJ
  • NPI 1285671651
  NPD (past) Authorized official
• Arundhati Hrishikesh Vinod

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1407804610
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396877007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD",
            "address_2": "STE 21",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "07630",
            "telephone_number": "201-262-8777",
            "fax_number": "201-262-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD",
            "address_2": "STE 21",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "07630",
            "telephone_number": "201-262-8777",
            "fax_number": "201-262-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN WOMEN OB GYN ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "MRUDULA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-262-8777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Ambulatory Anesthesia
• Bergen County Family Chiropractic (Bergen Physical Therapy & Spinal Rehab)
• Bergen Gastroenterology P C (Bergen Gastroenterology P.C. - Emerson)
• Bergen Gastroenterology PC
• Bergen Gastroenterology PC
• Nalini Bethala, MD
• Vivian K Bethala, MD
• Bhavik Mukesh Bhandari, M.D.
• Nedelina Biokua, APN
• Colleen Elizabeth Bova, MA CCC-SLP

• Obstetrics & Gynecology Physician in Emerson, NJ
• Providers in Emerson, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.