Organization Active NPI

Hillside OB-GYN Assoc Inc

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
National Provider Identifier
1720065972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HILLSIDE OB-GYN ASSOC INC
Practice address
701 Ostrum St
Ste 303
Bethlehem, PA 18015-1152
Phone
(610) 866-2929
Fax
(610) 866-3604
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Adriaan Johan Van Gaalen, MDNPI 1689651804
Title
President
Phone
(610) 866-2929

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

701 Ostrum St
Ste 303
Bethlehem, PA 18015-1152

Mailing address

701 Ostrum St
Ste 303
Bethlehem, PA 18015-1152
Phone (610) 866-2929

Other identifiers 2

IdentifierTypeStateIssuer
02347000OtherPABC
0067239OtherPABS

National Provider Directory

National Provider Directory

Locations

701 Ostrum St
Ste 303
Fountain Hill, PA 18015
Phone (484) 526-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720065972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "STE 303",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "610-866-2929",
            "fax_number": "610-866-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "STE 303",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "610-866-2929",
            "fax_number": "610-866-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE OB-GYN ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN GAALEN",
        "authorized_official_first_name": "ADRIAAN",
        "authorized_official_middle_name": "JOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-866-2929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "02347000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "0067239",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.