Women Pelvic Surgery of North Jersey LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WOMEN PELVIC SURGERY OF NORTH JERSEY LLC

Practice address

330 Ratzer Rd
Wayne, NJ 07470-7702

Phone

(203) 809-2724

Fax

(973) 773-2038

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Khashayar Shakiba, MDNPI 1114121571

Title

Owner

Phone

(203) 809-2724

Specialties & licenses 1

Addresses

Tax ID family

Women Pelvic Surgery of North Jersey LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Women'S Pelvic Surgery of North Jersey, LLC

  • Medical Specialty Clinic/Center
  • Paramus, NJ
  • NPI 1417243197
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khashayar Shakiba, MD

  • Obstetrics & Gynecology Physician
  • Paramus, NJ
  • NPI 1114121571
  NPD Authorized official

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1578875266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 666",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074510666",
            "telephone_number": "203-809-2724",
            "fax_number": "973-773-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RATZER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707702",
            "telephone_number": "203-809-2724",
            "fax_number": "973-773-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN PELVIC SURGERY OF NORTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAKIBA",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-809-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail R Windisch, AUD
• Jeffrey Bruce Wise, M.D.
• Mordecai M. Witkin, D.P.M.
• Heather Wolak
• James L Wolf, DC
• Daniel S Wong, DPT
• James K Woo, M.D.
• Wood Family Chiropractic, LLC
• Robert R Wood, DC
• Jillian Beth Woods, MS, OTD, OTR/L

• Obstetrics & Gynecology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.