Active NPI
Salus OB GYN Associates LLC
- Obstetrics & Gynecology Physician
- Newark, NJ
National Provider Identifier
1407999360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA07786800
- Legal business name
- SALUS OB GYN ASSOCIATES LLC
- Practice address
- 341 Walnut St
Newark, NJ 07105-2611 - Phone
- (973) 589-8800
- Fax
- (973) 589-8802
- NPI assigned
- Feb 14, 2007
- 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
- Mrinal Koul, MD
- Title
- Owner
- Phone
- (908) 490-0036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA07786800 | NJ | Primary |
Addresses
Primary practice location
341 Walnut St
Newark, NJ 07105-2611
Mailing address
PO Box 5604
Clark, NJ 07066-5604
Phone (973) 589-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA07786800 | Other | LIC | |
| DO8587700 | Other | CDS |
National Provider Directory
National Provider DirectoryLocations
2040 Millburn Ave
Ste 405
Maplewood, NJ 07040
Phone (973) 243-2666
341 Walnut St
Newark, NJ 07105
Phone (973) 589-8800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1407999360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5604",
"city": "CLARK",
"state": "NJ",
"postal_code": "070665604",
"telephone_number": "973-589-8800",
"fax_number": "973-589-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 WALNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071052611",
"telephone_number": "973-589-8800",
"fax_number": "973-589-8802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALUS OB GYN ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "KOUL",
"authorized_official_first_name": "MRINAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-490-0036",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA07786800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "25MA07786800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "DO8587700",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.