Rosh OB-GYN Ultrasound of NJ LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

ROSH OB-GYN ULTRASOUND OF NJ LLC

Practice address

1973 Springfield Ave
Maplewood, NJ 07040-3435

Phone

(973) 996-2284

Fax

(212) 725-3738

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Susan Bouskila

Title

Credentialing Manager

Phone

(718) 253-8111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1730635749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231023",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110230023",
            "telephone_number": "718-253-8111",
            "fax_number": "718-253-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403435",
            "telephone_number": "973-996-2284",
            "fax_number": "212-725-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSH OB-GYN ULTRASOUND OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BOUSKILA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "718-253-8111"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rooms to Grow
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• Corrine Rose-Parish, LCSW, CTRS
• Barbara A Rosen, LCSW
• Deborah Z. Rosenberg, D.M.D.
• Charles Archer Rowe, MD PHD
• Stuart Joel Rubin, DMD
• Marianne Nadine Rubino, MSW, LCSW
• Joan Framo Runfola, MSSW, LCSW
• Emmanuel Rwivanga Ruranga, MS.LPC

• Gynecology Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.