Organization Active NPI

Eterna Inc.

  • Gynecology Physician
  • West Orange, NJ
National Provider Identifier
1548053689
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ETERNA INC.
Practice address
30 Haggerty Dr
West Orange, NJ 07052-1434
Phone
(513) 404-4166
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Ms. Komel Caruso
Title
Ceo
Phone
(201) 786-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

30 Haggerty Dr
West Orange, NJ 07052-1434

Mailing address

30 Haggerty Dr
West Orange, NJ 07052-1434
Phone (201) 786-3325

Other names 1

  • HerMD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1548053689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAGGERTY DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521434",
            "telephone_number": "201-786-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAGGERTY DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521434",
            "telephone_number": "513-404-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "KOMEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-786-3325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HerMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.