Active NPI
Sacred Family Gynecology LLC
- Obstetrics & Gynecology Physician
- Englewood, NJ
National Provider Identifier
1477894483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA08405100
- Legal business name
- SACRED FAMILY GYNECOLOGY LLC
- Practice address
- 54 S Dean St
Englewood, NJ 07631-3514 - Phone
- (201) 871-4000
- Fax
- (201) 608-6938
- NPI assigned
- Mar 15, 2013
- Last updated
- Jan 26, 2015
- 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
- Venus Chalfin
- Title
- Director
- Phone
- (201) 871-4000
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 | 25MA08405100 | NJ | Primary |
Addresses
Primary practice location
54 S Dean St
Englewood, NJ 07631-3514
Mailing address
54 S Dean St
Englewood, NJ 07631-3514
Phone (201) 871-4000
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Obstetrics & Gynecology Physician
- Englewood, NJ
- NPI 1467617191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1477894483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 S DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313514",
"telephone_number": "201-871-4000",
"fax_number": "201-608-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 S DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313514",
"telephone_number": "201-871-4000",
"fax_number": "201-608-6938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED FAMILY GYNECOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-15",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "CHALFIN",
"authorized_official_first_name": "VENUS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "201-871-4000"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA08405100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.