Organization Active NPI

Holmdel Obstetrics & Gynecology Associates, PA

  • Obstetrics & Gynecology Physician
  • Holmdel, NJ
National Provider Identifier
1669460648
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HOLMDEL OBSTETRICS & GYNECOLOGY ASSOCIATES, PA
Practice address
704 N Beers St
Holmdel, NJ 07733-1519
Phone
(732) 739-2500
Fax
(732) 888-2778
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Mrs. Barbara Walters
Title
Office Manager
Phone
(732) 739-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

704 N Beers St
Holmdel, NJ 07733-1519

Mailing address

704 N Beers St
Holmdel, NJ 07733-1519
Phone (732) 739-2500

Other identifiers 4

IdentifierTypeStateIssuer
0113665000OtherNJAMERIHEALTH
CN3013OtherNJRAILROAD MEDICARE
0K03307OtherNJHEALTHNET
3271005MedicaidNJ

Other names 1

  • OBSTETRICS AND GYNECOLOGY ASSOCIATES Other name

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1669460648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331519",
            "telephone_number": "732-739-2500",
            "fax_number": "732-888-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331519",
            "telephone_number": "732-739-2500",
            "fax_number": "732-888-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL OBSTETRICS & GYNECOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-739-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0113665000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3013",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K03307",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3271005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBSTETRICS AND GYNECOLOGY ASSOCIATES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.