Organization Active NPI

Specializing in Women's Care LLC

  • Specialist
  • Rutherford, NJ
National Provider Identifier
1609101062
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA070577 Issued in 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
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

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

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA070577 NJ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100603000097 NJ Part B Supplier - Clinic/Group Practice 5597894394 Receives reassigned benefits from 1 practitioner
Practice locations: Rutherford, NJ

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "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": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA070577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.