Individual provider Active NPI

Vanessa Pinard

  • Obstetrics & Gynecology Physician
  • West Orange, NJ
National Provider Identifier
1487017703
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA10845900 Issued in NJ
Practice address
59 Main St Ste 207
West Orange, NJ 07052-5333
Phone
(862) 766-5363
Fax
(862) 766-5364
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 25MA10845900 NJ Primary

Addresses

Primary practice location

59 Main St Ste 207
West Orange, NJ 07052-5333

Mailing address

6210 Belcrest Rd
Apt 1218
Hyattsville, MD 20782-2952
Phone (561) 542-5385

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Other identifiers 2

IdentifierTypeStateIssuer
25MA10845900OtherNJPRIVATE INSURANCE
25MA10845900MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112001814 NY Practitioner - Obstetrics/Gynecology 2961814827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goncharov Medical PCGroup PAC ID 2062739246, 21 clinicians

Practice addresses (Care Compare)

274 Madison Ave
RM 300
New York, NY 10016-0701
Phone (212) 201-1217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10845900NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rae Medical LLC CurrentSince Aug 29, 2021 Accepting new patients
Yelena Rubinshteyn MD PC Past Accepting new patients
Total Sono, LLC PastSince Aug 29, 2021 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

59 Main St
Ste 207
West Orange, NJ 07052
Phone (862) 766-5363

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEFCDA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1487017703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 BELCREST RD",
            "address_2": "APT 1218",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822952",
            "telephone_number": "561-542-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST STE 207",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525333",
            "telephone_number": "862-766-5363",
            "fax_number": "862-766-5364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINARD",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10845900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "25MA10845900",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25MA10845900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.