Organization Active NPI

DRS. Gould, Henderson, Rogers, and Vaclavik LLC

Doing business as Ocean Obstetric and Gynecologic Associates

  • Obstetrics & Gynecology Physician
  • Ocean, NJ
National Provider Identifier
1699749556
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DRS. GOULD, HENDERSON, ROGERS, AND VACLAVIK LLC
Doing business as
Ocean Obstetric and Gynecologic Associates
Practice address
804 W Park Ave
Building a
Ocean, NJ 07712-7272
Phone
(732) 695-2040
Fax
(732) 695-1768
NPI assigned
Feb 15, 2006
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Mrs. Terri Lynch
Title
Office Manager
Phone
(732) 695-2040

Specialties & licenses 1

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

Addresses

Primary practice location

804 W Park Ave
Building a
Ocean, NJ 07712-7272

Mailing address

804 W Park Ave
Building a
Ocean, NJ 07712-7272
Phone (732) 695-2040

Other identifiers 1

IdentifierTypeStateIssuer
7968701MedicaidNJ

Other names 1

  • OCEAN OBSTETRIC AND GYNECOLOGIC ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

2164 Route 35
Bldg D
Sea Girt, NJ 08750
Phone (201) 449-0914

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1699749556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W PARK AVE",
            "address_2": "BUILDING A",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127272",
            "telephone_number": "732-695-2040",
            "fax_number": "732-695-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W PARK AVE",
            "address_2": "BUILDING A",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127272",
            "telephone_number": "732-695-2040",
            "fax_number": "732-695-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GOULD, HENDERSON, ROGERS, AND VACLAVIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-695-2040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7968701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCEAN OBSTETRIC AND GYNECOLOGIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.