Organization Active NPI

Northeast Women Health PC

  • Obstetrics & Gynecology Physician
  • Paramus, NJ
National Provider Identifier
1508643933
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTHEAST WOMEN HEALTH PC
Practice address
695 N Rte 17 Ste 101
Paramus, NJ 07652-3110
Phone
(201) 597-4000
NPI assigned
Sep 11, 2023
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Mr. Kyle Khorozian
Title
Director
Phone
(201) 597-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

695 N Rte 17 Ste 101
Paramus, NJ 07652-3110

Mailing address

505 Goffle Rd
Ridgewood, NJ 07450-4027
Phone (201) 597-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208002909 NJ Part B Supplier - Clinic/Group Practice 1759724560 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory
Tax ID family
Northeast Women Health PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

695 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 597-4000

695 N State Rt 17
Ste 101
Paramus, NJ 07652
Phone (201) 765-7036

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1508643933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GOFFLE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504027",
            "telephone_number": "201-597-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N RTE 17 STE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523110",
            "telephone_number": "201-597-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WOMEN HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "KHOROZIAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-597-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.