Specialized in Womens Care, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA070577 Issued in NJ

Legal business name

SPECIALIZED IN WOMENS CARE, LLC

Practice address

17 Sylvan St
Suite 201
Rutherford, NJ 07070-2037

Phone

(201) 438-2824

Fax

(201) 438-2108

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Consetta Cheatam, MDNPI 1619989860

Title

President

Phone

(201) 438-2824

Specialties & licenses 1

Addresses

Locations

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.

• Consetta Mae Cheatam, MD

  • Specialist
  • Rutherford, NJ
  • NPI 1619989860
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780753442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SYLVAN ST",
            "address_2": "SUITE 201",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702037",
            "telephone_number": "201-438-2824",
            "fax_number": "201-438-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SYLVAN ST",
            "address_2": "SUITE 201",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702037",
            "telephone_number": "201-438-2824",
            "fax_number": "201-438-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED IN WOMENS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEATAM",
        "authorized_official_first_name": "CONSETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-438-2824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA070577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Specialist in New Jersey

• 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.