Active NPI
Women'S Health Care Group PC
- Obstetrics & Gynecology Physician
- Teaneck, NJ
National Provider Identifier
1790720449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA03819000
- Legal business name
- WOMEN'S HEALTH CARE GROUP PC
- Practice address
- 870 Palisade Ave
Teaneck, NJ 07666-3419 - Phone
- (201) 907-0900
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Frattarola, MD
- Title
- Delegated Official
- Phone
- (201) 907-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA03819000 | NJ | Primary |
Addresses
Primary practice location
870 Palisade Ave
Teaneck, NJ 07666-3419
Mailing address
870 Palisade Ave
Teaneck, NJ 07666-3419
Phone (201) 907-0900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049262 | Other | NJ | AETNA HMO GROUP # |
| 6982409 | Medicaid | NJ | |
| 0142333000 | Other | NJ | AMERIHEALTH GROUP # |
| C12983 | Other | NJ | RAILROAD MEDICARE GROUP # |
| 5771292 | Other | NJ | AETNA PPO GROUP # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1790720449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 PALISADE AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663419",
"telephone_number": "201-907-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 PALISADE AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663419",
"telephone_number": "201-907-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTH CARE GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "FRATTAROLA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DELEGATED OFFICIAL",
"authorized_official_telephone_number": "201-907-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA03819000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO GROUP #",
"identifier": "0049262",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6982409",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH GROUP #",
"identifier": "0142333000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "C12983",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO GROUP #",
"identifier": "5771292",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.