Organization Active NPI

Ironbound OBGYN. LLC

  • Obstetrics & Gynecology Physician
  • Newark, NJ
National Provider Identifier
1588066625
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
IRONBOUND OBGYN. LLC
Practice address
91 Congress St
Suite 2
Newark, NJ 07105-1879
Phone
(973) 344-7676
NPI assigned
Sep 19, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Fares Diarbakerli, M.D.NPI 1508011602
Title
Owner
Phone
(973) 221-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

91 Congress St
Suite 2
Newark, NJ 07105-1879

Mailing address

716 Broad St
Suite 2a
Clifton, NJ 07013-1645
Phone (973) 221-3122

National Provider Directory

National Provider Directory

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": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1588066625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "address_2": "SUITE 2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "973-221-3122",
            "fax_number": "973-710-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CONGRESS ST",
            "address_2": "SUITE 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051879",
            "telephone_number": "973-344-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONBOUND OBGYN. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "DIARBAKERLI",
        "authorized_official_first_name": "FARES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-221-3122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.