Organization Active NPI

OB/GYN Women's Wellness PC

  • Obstetrics & Gynecology Physician
  • Clifton, NJ
National Provider Identifier
1700186988
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08255600 Issued in NJ
Legal business name
OB/GYN WOMEN'S WELLNESS PC
Practice address
1040 Clifton Ave
First Floor
Clifton, NJ 07013-3511
Phone
(973) 272-3136
Fax
(973) 547-9144
NPI assigned
Oct 22, 2010
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Farhana Khan, MDNPI 1033392642
Title
Physician
Phone
(973) 272-3136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08255600 NJ Primary

Addresses

Primary practice location

1040 Clifton Ave
First Floor
Clifton, NJ 07013-3511

Mailing address

1040 Clifton Ave
Second Floor
Clifton, NJ 07013-3511
Phone (973) 272-3136

Other identifiers 1

IdentifierTypeStateIssuer
0256463MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1040 Clifton Ave
Ste 1
Clifton, NJ 07013
Phone (973) 272-3136

1040 Clifton Ave
Ste 2
Clifton, NJ 07013
Phone (973) 864-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1700186988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CLIFTON AVE",
            "address_2": "SECOND FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133511",
            "telephone_number": "973-272-3136",
            "fax_number": "973-547-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CLIFTON AVE",
            "address_2": "FIRST FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133511",
            "telephone_number": "973-272-3136",
            "fax_number": "973-547-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN WOMEN'S WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARHANA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-272-3136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08255600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256463",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.