Organization Active NPI

OB-GYN Associates of Englewood,PA

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
National Provider Identifier
1700894417
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA047762 Issued in NJ
Legal business name
OB-GYN ASSOCIATES OF ENGLEWOOD,PA
Practice address
177 N Dean St
208
Englewood, NJ 07631-2533
Phone
(201) 569-0200
Fax
(201) 569-8287
NPI assigned
Aug 4, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OBGYN ASSOCIATES OF ENGLEWOOD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Dr. Vladimir Kilinsky, M.DNPI 1942218623
Title
Presdent
Phone
(201) 569-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA047762 NJ Primary

Addresses

Primary practice location

177 N Dean St
208
Englewood, NJ 07631-2533

Mailing address

177 N Dean St
208
Englewood, NJ 07631-2533
Phone (201) 569-0200

Other identifiers 1

IdentifierTypeStateIssuer
0154601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629000727 NJ Part B Supplier - Clinic/Group Practice 4688610736 Receives reassigned benefits from 3 practitioners
Practice locations: Englewood, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0113202OB-GYN Associates of Englewood PA177 North Dean Street Suite 208, Englewood, NJ 07631Provider-performed microscopyFeb 23, 2028
31D0858394OB-GYN Associates of Englewood177 North Dean Street Suite 208, Englewood, NJ 07631Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
OBGYN Associates of Eng2 organizations share this tax ID, including this one
Part of
OBGYN Associates of Eng

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1700894417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST",
            "address_2": "208",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312533",
            "telephone_number": "201-569-0200",
            "fax_number": "201-569-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST",
            "address_2": "208",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312533",
            "telephone_number": "201-569-0200",
            "fax_number": "201-569-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN ASSOCIATES OF ENGLEWOOD,PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OBGYN ASSOCIATES  OF ENGLEWOOD, PA",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "KILINSKY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "201-569-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA047762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.