Active NPI
Essex Womens Health Center, PA
- Obstetrics & Gynecology Physician
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ESSEX WOMENS HEALTH CENTER, PA
- Practice address
- 33 N Fullerton Ave
Montclair, NJ 07042-3412 - Phone
- (973) 744-2922
- NPI assigned
- Mar 6, 2007
- Last updated
- Aug 22, 2020
- 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
- Gary Degrande, MD
- Title
- President
- Phone
- (201) 744-2922
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
33 N Fullerton Ave
Montclair, NJ 07042-3412
Mailing address
33 N Fullerton Ave
Montclair, NJ 07042-3412
Phone (973) 744-2922
National Provider Directory
National Provider DirectoryLocations
33 N Fullerton Ave
Montclair, NJ 07042
Phone (973) 744-2226
201 W Passaic St
Ste 201
Rochelle Park, NJ 07662
Phone (201) 489-3980
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d80c61f8-55e9-4f03-aac2-d990f2ee9aa9/
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Montclair, NJ
- NPI 1275609380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447380134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 N FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423412",
"telephone_number": "973-744-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 N FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423412",
"telephone_number": "973-744-2922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX WOMENS HEALTH CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEGRANDE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-744-2922",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.