Organization Active NPI

OB-GYN Professional Care ,LLC

  • Obstetrics & Gynecology Physician
  • Clifton, NJ
National Provider Identifier
1487078648
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25 MA09321800 Issued in NJ
Legal business name
OB-GYN PROFESSIONAL CARE ,LLC
Practice address
1187 Main Ave
Suite 1 a
Clifton, NJ 07011-2252
Phone
(570) 878-1169
NPI assigned
Feb 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mrs. Catalina Dinu, MDNPI 1730184110
Title
Owner
Phone
(570) 878-1169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25 MA09321800 NJ Primary

Addresses

Primary practice location

1187 Main Ave
Suite 1 a
Clifton, NJ 07011-2252

Mailing address

1187 Main Ave
Clifton, NJ 07011-2252
Phone (570) 878-1169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140627000745 NJ Part B Supplier - Clinic/Group Practice 2860617206 Receives reassigned benefits from 2 practitioners
Practice locations: Paterson, NJ; Passaic, NJ; Clifton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2121111OB-GYN Professional Care LLC1187 Main Avenue, Clifton, NJ 07011Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

1187 Main Ave
Ste 1A
Clifton, NJ 07011
Phone (570) 878-1169

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1487078648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "570-878-1169",
            "fax_number": "862-247-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE",
            "address_2": "SUITE 1 A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "570-878-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN PROFESSIONAL CARE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "DINU",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-878-1169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25 MA09321800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.