Ridge Womens Care PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MB07936100 Issued in NJ

Legal business name

RIDGE WOMENS CARE PA

Practice address

150 N Finley Ave
Basking Ridge, NJ 07920-1686

Phone

(908) 340-4269

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Pareja Blank, D.O.

Title

Director

Phone

(609) 896-3303

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1700100609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-340-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-340-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE WOMENS CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "PAREJA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-896-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB07936100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477524213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Francis Riccardi, DPT
• Frederick H. Richardson, DPT
• Susan Rider, D.D.S., M.S.D.
• Ridge Medical Supply LLC
• Ridge Oral Surgery, Inc
• Tracey A Rimmler, MSPT
• Leda Ristovic, RDN
• Nicolette Rittenhouse-Young, PSYD
• Riverwalk Healthcare Staffing, LLC
• Riverwalk Pharmacy LLC

• Obstetrics & Gynecology Physician in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.