Organization Active NPI

Center for Women'S Healthcare LLC

  • Obstetrics & Gynecology Physician
  • Wayne, NJ
National Provider Identifier
1417380577
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Dr. Mahipa Pallimulla, M.D.NPI 1639124506
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA07089000 NJ
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8327602MedicaidNJ
P2843436OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160713002580 NJ Part B Supplier - Clinic/Group Practice 5496047391 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.