Specializing in Women'S Care LLC – Specialist

Key facts

NPI: 1609101062
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
License: MA070577 (NJ)
Legal business name: SPECIALIZING IN WOMEN'S CARE LLC
Practice address: 22 Sylvan St
Suite 300
Rutherford, NJ 07070-2087
Phone: (201) 438-8860
Fax: (201) 438-1994
NPI assigned: Oct 2, 2009
Organization subpart: No

Authorized official

Name: Dr. Consetta M Cheatam, M.D. NPI 1619989860
Title: President
Phone: (201) 438-8860

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Consetta Mae Cheatam, MD Specialist · Rutherford, NJ · NPI 1619989860

Medicare reassignment NPD Authorized official NJ · SPECIALIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NJ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100603000097	NJ	Part B Supplier - Clinic/Group Practice	5597894394	Receives reassigned benefits from 1 practitioner Practice locations: Rutherford, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	174400000X	MA070577	NJ	Yes

Addresses

Primary practice location

22 Sylvan St
Suite 300
Rutherford, NJ 07070-2087

Mailing address

22 Sylvan St
Suite 300
Rutherford, NJ 07070-2087
Phone (201) 438-8860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2014.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1609101062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SYLVAN ST",
            "address_2": "SUITE 300",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702087",
            "telephone_number": "201-438-8860",
            "fax_number": "201-438-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SYLVAN ST",
            "address_2": "SUITE 300",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702087",
            "telephone_number": "201-438-8860",
            "fax_number": "201-438-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZING IN WOMEN'S CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "CHEATAM",
        "authorized_official_first_name": "CONSETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-438-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA070577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

All providers in Rutherford, NJ · Specialist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.