Organization Active NPI

Womens Care of Passaic

  • Obstetrics & Gynecology Physician
  • Passaic, NJ
National Provider Identifier
1699334748
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS CARE OF PASSAIC
Practice address
916 Main Ave
Passaic, NJ 07055-8545
Phone
(973) 200-2794
Fax
(973) 278-2818
NPI assigned
Jun 12, 2019
Last updated
Jul 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Abiola Mustafa
Title
Manager
Phone
(973) 200-2794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

916 Main Ave
Passaic, NJ 07055-8545

Mailing address

916 Main Ave
Passaic, NJ 07055-8545
Phone (973) 200-2794

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.livinspringswomenscare.com

National Provider Directory

National Provider Directory
Tax ID family
Living Springs Women's Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

916 Main Ave
Ste 2C
Passaic, NJ 07055
Phone (973) 200-2794

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1699334748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558545",
            "telephone_number": "973-200-2794",
            "fax_number": "973-278-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558545",
            "telephone_number": "973-200-2794",
            "fax_number": "973-278-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CARE OF PASSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-200-2794"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.livinspringswomenscare.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "916 Main Ave",
            "city": "Passaic",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070558545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.