Individual provider Active NPI

Maya Mansukhlal Sanghavi, M.D.;F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Warren, NJ
National Provider Identifier
1487693255
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA02928100 Issued in NJ
Practice address
27 Mountain Blvd Ste 6
Warren, NJ 07059-5605
Phone
(973) 736-1100
Fax
(973) 736-1134
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA02928100 NJ Primary

Addresses

Primary practice location

27 Mountain Blvd Ste 6
Warren, NJ 07059-5605

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050

Other practice location 1

1550 Park Ave
Suite # 101
South Plainfield, NJ 07080-5565
Phone (908) 757-4448

Other practice location 2

101 Old Short Hills Rd Ste 101
West Orange, NJ 07052-1023
Phone (973) 736-1100

Other practice location 3

731 Broadway
Bayonne, NJ 07002-4783
Phone (973) 736-1100

Other practice location 4

33 Overlook Rd Ste 108
Summit, NJ 07901-3562
Phone (973) 736-1100

Other practice location 5

340 Main St Ste 2
Madison, NJ 07940-2363
Phone (973) 736-1100

Other practice location 6

67 Walnut Ave Ste 101
Clark, NJ 07066-1644
Phone (973) 736-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120202000738 NJ Practitioner - Obstetrics/Gynecology 1355508375 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Mar 2, 2020 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Mar 2, 2020 Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Oct 18, 2004 Accepting new patients

Locations

67 Walnut Ave
Ste 101
Clark, NJ 07066
Phone (732) 381-0121

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

340 Main St
Ste 2
Madison, NJ 07940

33 Overlook Rd
Ste 108
Summit, NJ 07901
Phone (908) 522-6590

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

27 Mountain Blvd
Ste 6
Warren, NJ 07059
Phone (908) 222-7777

101 Old Short Hills Rd
Ste 101
West Orange, NJ 07052
Phone (973) 736-1313

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1487693255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "856-669-6050",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD STE 6",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "973-736-1100",
            "fax_number": "973-736-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Park Ave",
            "address_2": "Suite # 101",
            "address_purpose": "LOCATION",
            "city": "South Plainfield",
            "state": "NJ",
            "postal_code": "070805565",
            "country_code": "US",
            "telephone_number": "908-757-4448",
            "fax_number": "908-757-0802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Old Short Hills Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070521023",
            "country_code": "US",
            "telephone_number": "973-736-1100",
            "fax_number": "888-209-8985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024783",
            "country_code": "US",
            "telephone_number": "973-736-1100",
            "fax_number": "888-209-8985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Overlook Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013562",
            "country_code": "US",
            "telephone_number": "973-736-1100",
            "fax_number": "888-209-8985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NJ",
            "postal_code": "079402363",
            "country_code": "US",
            "telephone_number": "973-736-1100",
            "fax_number": "888-209-8985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Walnut Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661644",
            "country_code": "US",
            "telephone_number": "973-736-1100",
            "fax_number": "888-209-8985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGHAVI",
        "first_name": "MAYA",
        "middle_name": "MANSUKHLAL",
        "name_prefix": "Dr.",
        "credential": "M.D.;F.A.C.O.G.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA02928100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.