Organization Active NPI

Urogynecology and Advanced Gynecology Medical Group PA

  • Gynecology Physician
  • South Orange, NJ
National Provider Identifier
1639238298
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
UROGYNECOLOGY AND ADVANCED GYNECOLOGY MEDICAL GROUP PA
Practice address
120 Irvington Ave
South Orange, NJ 07079-1904
Phone
(973) 275-0025
Fax
(973) 275-0026
NPI assigned
Dec 8, 2006
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Emad A. Hashemi, M.D.NPI 1568492759
Title
President
Phone
(973) 275-0025

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

120 Irvington Ave
South Orange, NJ 07079-1904

Mailing address

PO Box 272
Chatham, NJ 07928-0272
Phone (973) 275-0025

Other identifiers 1

IdentifierTypeStateIssuer
0112089MedicaidNJ

National Provider Directory

National Provider Directory

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1639238298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079280272",
            "telephone_number": "973-275-0025",
            "fax_number": "973-275-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 IRVINGTON AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791904",
            "telephone_number": "973-275-0025",
            "fax_number": "973-275-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYNECOLOGY AND ADVANCED GYNECOLOGY MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "HASHEMI",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-275-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112089",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.