NPIMap

Organization Active NPI

New Jersey Perinatal Assoc. LLC

  • Specialist
  • Livingston, NJ
National Provider Identifier
1487696779
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06073400 Issued in NJ
Legal business name
NEW JERSEY PERINATAL ASSOC. LLC
Practice address
94 Old Short Hills Rd
East Wing, Suite 402
Livingston, NJ 07039-5672
Phone
(973) 322-5287
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Dr. Edward Wolf, MDNPI 1881696185
Title
Delegated Official
Phone
(973) 322-5287

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 25MA06073400 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Rd
East Wing, Suite 402
Livingston, NJ 07039-5672

Mailing address

PO Box 51027
Newark, NJ 07101-5127
Phone (973) 322-5287

Other identifiers 5

IdentifierTypeStateIssuer
CK7246OtherNJRAILROAD MCR GROUP #
5980027OtherNJAETNA PPO GROUP #
2122501000OtherNJAMERIHEALTH GROUP #
2996603OtherNJAETNA HMO GROUP #
6602908MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000239 NJ Part B Supplier - Clinic/Group Practice 0648320564 Receives reassigned benefits from 10 practitioners
Practice locations: Belleville, NJ; Westfield, NJ; Warren, NJ; Teaneck, NJ; Paramus, NJ; Livingston, NJ; Parsippany, 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
31D1025072New Jersey Perinatal Associates LLC94 Old Short Hills Road, Livingston, NJ 07039Provider-performed microscopyApr 27, 2028

National Provider Directory

National Provider Directory

Locations

94 Old Short Hills Rd
Ste 402WING
Livingston, NJ 07039

650 From Rd
Ste 160
Paramus, NJ 07652
Phone (973) 322-5287

299 Cherry Hill Rd
Ste 103
Parsippany, NJ 07054
Phone (973) 322-5287

718 Teaneck Rd
#3
Teaneck, NJ 07666

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1487696779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51027",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071015127",
            "telephone_number": "973-322-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "address_2": "EAST WING, SUITE 402",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PERINATAL ASSOC. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "973-322-5287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06073400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR GROUP #",
            "identifier": "CK7246",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP #",
            "identifier": "5980027",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP #",
            "identifier": "2122501000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP #",
            "identifier": "2996603",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.