Active NPI
Center for Women'S Healthcare LLC
- Obstetrics & Gynecology Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CENTER FOR WOMEN'S HEALTHCARE LLC
- Practice address
- 220 Hamburg Tpke Ste 21
Wayne, NJ 07470-2132 - Phone
- (973) 321-1688
- NPI assigned
- Aug 13, 2013
- 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
- Dr. Mahipa Pallimulla, M.D.
- Title
- Physician
- Phone
- (973) 570-2727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA07089000 | NJ | |
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
220 Hamburg Tpke Ste 21
Wayne, NJ 07470-2132
Mailing address
220 Hamburg Tpke Ste 21
Wayne, NJ 07470-2132
Phone (973) 570-2727
Other practice location 1
350 Boulevard
4th Floor
Passaic, NJ 07055-2840
Phone (973) 330-9037
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8327602 | Medicaid | NJ | |
| P2843436 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160713002580 | NJ | Part B Supplier - Clinic/Group Practice | 5496047391 |
Receives reassigned benefits from 1 practitioner Practice locations: Wayne, NJ |
National Provider Directory
National Provider DirectoryLocations
350 Boulevard
Fl 4
Passaic, NJ 07055
Phone (973) 330-9036
220 Hamburg Tpke
Ste 21
Wayne, NJ 07470
Phone (973) 321-1686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1417380577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HAMBURG TPKE STE 21",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702132",
"telephone_number": "973-570-2727",
"fax_number": "800-754-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HAMBURG TPKE STE 21",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702132",
"telephone_number": "973-321-1688"
}
],
"practiceLocations": [
{
"address_1": "350 Boulevard",
"address_2": "4th Floor",
"address_purpose": "LOCATION",
"city": "Passaic",
"state": "NJ",
"postal_code": "070552840",
"country_code": "US",
"telephone_number": "973-330-9037",
"fax_number": "866-760-4555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTER FOR WOMEN'S HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-13",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "PALLIMULLA",
"authorized_official_first_name": "MAHIPA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "973-570-2727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07089000",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8327602",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2843436",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.