Active NPI
Holmdel Obstetrics & Gynecology Associates, PA
- Obstetrics & Gynecology Physician
- Holmdel, NJ
National Provider Identifier
1669460648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0113665000 | Other | NJ | AMERIHEALTH |
| CN3013 | Other | NJ | RAILROAD MEDICARE |
| 0K03307 | Other | NJ | HEALTHNET |
| 3271005 | Medicaid | NJ |
Other names 1
- OBSTETRICS AND GYNECOLOGY ASSOCIATES
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Holmdel, NJ
- NPI 1649268616
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
- Holmdel Gastroenterology Associates
- Holmdel Health Center
- Holmdel Imaging LLC
- Holmdel Medical Group, Inc
- Holmdel Multi Specialty Surgical Associates LLC
- Holmdel Ophthalmology LLC
- Holmdel Orthodontics LLC
- Holmdel Pediatrics, LLC
- Holmdel Pharmacy & Deli LLC
- Holmdel Physical Therapy and Sports Medicine LLC
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.