Organization Active NPI

Sacred Family Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
National Provider Identifier
1477894483
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08405100 Issued in NJ
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Venus ChalfinNPI 1467617191
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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.

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.

Verify at the official NPI Registry.