Active NPI
Audrey I Prefer, M.D.
- Gynecology Physician
- Mendham, NJ
National Provider Identifier
1669417572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MA049340
- Practice address
- 19 E Main St
Mendham, NJ 07945-1503 - Phone
- (973) 543-4440
- Fax
- (973) 543-3009
- NPI assigned
- Jun 17, 2006
- Last updated
- May 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MA049340 | NJ | Primary |
Addresses
Primary practice location
19 E Main St
Mendham, NJ 07945-1503
Mailing address
19 E Main St
Mendham, NJ 07945-1503
Phone (973) 543-4440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 12, 2024 through Sep 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA049340 | NJ | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1669417572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E MAIN ST",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079451503",
"telephone_number": "973-543-4440",
"fax_number": "973-543-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E MAIN ST",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079451503",
"telephone_number": "973-543-4440",
"fax_number": "973-543-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREFER",
"first_name": "AUDREY",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "MA049340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendham, NJ
- Mai Pham
- Lisa Marie Picciuti, LCSW
- Pocono Behavioral Wellness, LLC
- Powerback Rehabilitation LLC
- Holly Beth Pralgever, MS, CCC-SLP
- Christie J Prestifilippo, MD
- Primary Care Partners LLC (Mendham Pediatric Care - Primary Care Partners Afffiliate)
- Domenick N Randazzo, M.D.
- Ruth Judith Gabas Ravago-Raroque, PT
- Sean Michael Reifinger, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.