Organization Active NPI

Salus OB GYN Associates LLC

  • Obstetrics & Gynecology Physician
  • Newark, NJ
National Provider Identifier
1407999360
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07786800 Issued in NJ
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
25MA07786800OtherLIC
DO8587700OtherCDS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.