Individual provider Active NPI

Rhonda R Nichols, M.D.

  • Obstetrics & Gynecology Physician
  • Newark, NJ
National Provider Identifier
1700816360
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA03769900 Issued in NJ
Practice address
151 Washington St
Newark, NJ 07102-3026
Phone
(973) 622-3900
Fax
(973) 622-1698
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA03769900 NJ Primary

Addresses

Primary practice location

151 Washington St
Newark, NJ 07102-3026

Mailing address

151 Washington St
Newark, NJ 07102
Phone (973) 622-3900

Other identifiers 1

IdentifierTypeStateIssuer
1559800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03769900NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Metropolitan New Jersey Past Accepting new patients
Planned Parenthood of Metroplitan NJ, Inc. Past Accepting new patients
Planned Parenthood of Metropolitan NJ Past Accepting new patients
Planned Parenthood of Metropolitan NJ Past Accepting new patients
New Margaret Hague Womens Health Institute Obstetrics & Gynecology Past Accepting new patients
Planned Parenthood of Metropolitan New Jersey Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rhonda.nichols.p2@direct.bhplannedparenthood.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1700816360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-622-3900",
            "fax_number": "973-622-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023026",
            "telephone_number": "973-622-3900",
            "fax_number": "973-622-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RHONDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA03769900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1559800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.