Organization Active NPI

Womens Midlife Medicine LLC

  • Gynecology Physician
  • Wyckoff, NJ
National Provider Identifier
1548164569
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WOMENS MIDLIFE MEDICINE LLC
Practice address
258 Godwin Ave
Wyckoff, NJ 07481-2042
Phone
(201) 891-3336
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Linda Pagnotta
Title
Office Manager
Phone
(201) 891-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

258 Godwin Ave
Wyckoff, NJ 07481-2042

Mailing address

258 Godwin Ave
Wyckoff, NJ 07481-2042

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1548164569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GODWIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 GODWIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812042",
            "telephone_number": "201-891-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS MIDLIFE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "PAGNOTTA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-891-3336"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.