Eric B. Gewolb M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA03446400 Issued in NJ

Legal business name

ERIC B. GEWOLB M.D., P.A.

Practice address

830 Kennedy Blvd
Bayonne, NJ 07002-5834

Phone

(201) 339-0200

Fax

(201) 339-0201

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. ER Gewolb, M.D.

Title

Psychiatrist/President

Phone

(201) 339-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1679893945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025834",
            "telephone_number": "201-339-0200",
            "fax_number": "201-339-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025834",
            "telephone_number": "201-339-0200",
            "fax_number": "201-339-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC B. GEWOLB M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "GEWOLB",
        "authorized_official_first_name": "ER",
        "authorized_official_title_or_position": "PSYCHIATRIST/PRESIDENT",
        "authorized_official_telephone_number": "201-339-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA03446400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.