Artemis OB/GYN, LLC
Organization Active NPI Obstetrics & Gynecology Physician · Union, NJ
NPI 1508107905 · NPPES record last updated Mar 9, 2013
Key facts
- NPI
- 1508107905
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 25MA09012200 (NJ)
- Legal business name
- ARTEMIS OB/GYN, LLC
- Practice address
- 1000 Galloping Hill Rd
Union, NJ 07083-7989 - Phone
- (908) 624-9665
- NPI assigned
- Mar 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Kemonte Howard
- Title
- Administrator
- Phone
- (917) 294-7322
Practitioners 2
-
Chidera Chima, DNP, CNM, WHNP-BC
-
Nicola Pemberton, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130607000387 | NJ | Part B Supplier - Clinic/Group Practice | 6103064845 |
Receives reassigned benefits from 2 practitioners Practice locations: Union, NJ |
National Provider Directory
Locations
1945 US Highway 22 W
Union, NJ 07083
Phone (908) 624-9665
Interoperability endpoints
- https://api.platform.athenahealth.com/6777/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 25MA09012200 | NJ | Yes |
Addresses
Primary practice location
1000 Galloping Hill Rd
Union, NJ 07083-7989
Mailing address
300 Monmouth Rd
Elizabeth, NJ 07208-1409
Phone (917) 294-7322
Other providers in Union, NJ
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- Dawn Marie Arnold
- Benjamin L Aronson
- Mariam Asare
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All providers in Union, NJ · Obstetrics & Gynecology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.