OB-GYN Affiliates of North Jersey LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OB-GYN AFFILIATES OF NORTH JERSEY LLC

Practice address

330 Ratzer Rd
Ste #13
Wayne, NJ 07470-7702

Phone

(973) 694-2222

Fax

(973) 694-5184

NPI assigned

Jul 14, 2011

Last updated

Sep 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Garrett, M.D.NPI 1467491944

Title

Manager

Phone

(973) 694-2222

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Kenneth Garrett, M.D.

  • Obstetrics & Gynecology Physician
  • Wayne, NJ
  • NPI 1467491944
  Authorized official Same address or phone
• Leonard T Nicosia, M.D.

  • Obstetrics & Gynecology Physician
  • Wayne, NJ
  • NPI 1841246394
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1497043244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BERDAN AVE",
            "address_2": "#170",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703233",
            "telephone_number": "973-694-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RATZER RD",
            "address_2": "STE #13",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707702",
            "telephone_number": "973-694-2222",
            "fax_number": "973-694-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN AFFILIATES OF NORTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-694-2222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwakanma Vivian Nwadike, APN
• Laura O'Connor, DPT
• Eileen O'Sullivan
• Timothy O'Sullivan
• Oakland Spine and Physical Therapy of Wayne, LLC
• Marci Wolff Ober, LMFT
• Mark Joseph Oberthaler, PA-C
• Thomas M Obrotka, MD
• Ogt Chiropractic Group, PA
• SE Young Oh, APN

• Specialist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.