Organization Active NPI

Raritan OB GYN Associates

  • Specialist
  • Perth Amboy, NJ
National Provider Identifier
1578602280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RARITAN OB GYN ASSOCIATES
Practice address
485 New Brunswick Ave
Suite 100
Perth Amboy, NJ 08861-3675
Phone
(732) 324-4290
Fax
(732) 324-4293
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth Treadwell Jr., MD
Title
President
Phone
(732) 324-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

485 New Brunswick Ave
Suite 100
Perth Amboy, NJ 08861-3675

Mailing address

485 New Brunswick Ave
Suite 100
Perth Amboy, NJ 08861-3675
Phone (732) 324-4290

National Provider Directory

National Provider Directory

Locations

485 New Brunswick Ave
Ste 100
Perth Amboy, NJ 08861
Phone (732) 324-4290

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578602280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 NEW BRUNSWICK AVE",
            "address_2": "SUITE 100",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613675",
            "telephone_number": "732-324-4290",
            "fax_number": "732-324-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 NEW BRUNSWICK AVE",
            "address_2": "SUITE 100",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613675",
            "telephone_number": "732-324-4290",
            "fax_number": "732-324-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN OB GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREADWELL JR.",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-324-4290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.