Organization Active NPI

Wayne Obstetrics & Gynecology Associates P C

  • Obstetrics & Gynecology Physician
  • Wayne, NJ
National Provider Identifier
1477790491
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA059982 Issued in NJ
Legal business name
WAYNE OBSTETRICS & GYNECOLOGY ASSOCIATES P C
Doing business as
wayne obstetrics & gynecology associates p c
Practice address
510 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2025
Phone
(973) 942-3500
Fax
(973) 942-3881
NPI assigned
Jan 13, 2009
Organization subpart
Yes
Parent organization
WAYNE OBSTETRICS AND GYNECOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Faruza Gof
Title
Office Manager
Phone
(973) 942-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MA059982 NJ Primary

Addresses

Primary practice location

510 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2025

Mailing address

510 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2025
Phone (973) 942-3500

Other identifiers 1

IdentifierTypeStateIssuer
6133606MedicaidNJ

Other names 1

  • wayne obstetrics & gynecology associates p c Doing business as

National Provider Directory

National Provider Directory
Part of
Wayne Obstetrics Gynecolog

Locations

510 Hamburg Tpke
Ste 202
Wayne, NJ 07470
Phone (973) 942-3500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1477790491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE",
            "address_2": "SUITE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702025",
            "telephone_number": "973-942-3500",
            "fax_number": "973-942-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE",
            "address_2": "SUITE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702025",
            "telephone_number": "973-942-3500",
            "fax_number": "973-942-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE OBSTETRICS & GYNECOLOGY ASSOCIATES P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE OBSTETRICS AND GYNECOLOGY",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "GOF",
        "authorized_official_first_name": "FARUZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-942-3500"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA059982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6133606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wayne obstetrics & gynecology associates p c",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 2009; 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.