Organization Active NPI

Comprehensive Womens Healthcare

  • Specialist
  • Wayne, NJ
National Provider Identifier
1790731271
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06580400 Issued in NJ
Legal business name
COMPREHENSIVE WOMENS HEALTHCARE
Practice address
220 Hamburg Tpke
21
Wayne, NJ 07470-2110
Phone
(973) 790-8090
Fax
(973) 790-3198
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Khashayar Vosough, MDNPI 1487692299
Title
President
Phone
(973) 591-9988

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA06580400 NJ Primary

Addresses

Primary practice location

220 Hamburg Tpke
21
Wayne, NJ 07470-2110

Mailing address

716 Broad St
Clifton, NJ 07013-1645
Phone (973) 591-9988

Other identifiers 10

IdentifierTypeStateIssuer
0002623MedicaidNJ
1992750715OtherNJAIMAN SHILAD
1083636450OtherNJSHAZAH KHAWAJA
13626093204OtherNJEDWARD KUGLER
1487692299OtherNJKHASHAYAR VOSOUGH
1508965344OtherNJRALPH CIFALDI
1285684597OtherNJALINA LIBSTER
1750329538OtherNJCHARLES HADDAD
1639124506OtherNJMAHIPA PALLIMULLA
1770518441OtherNJBRUCE BENNETT

National Provider Directory

National Provider Directory

Locations

158 Hamilton Ave
Passaic, NJ 07055
Phone (973) 458-0422

32 Hine St
Paterson, NJ 07503
Phone (973) 345-6968

61 N Maple Ave
Ste 102
Ridgewood, NJ 07450
Phone (201) 445-7070

Practitioners & affiliated clinicians

Practitioners 7

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1790731271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "973-591-9988",
            "fax_number": "973-591-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "address_2": "21",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702110",
            "telephone_number": "973-790-8090",
            "fax_number": "973-790-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WOMENS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "VOSOUGH",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-591-9988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06580400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002623",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AIMAN SHILAD",
            "identifier": "1992750715",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHAZAH KHAWAJA",
            "identifier": "1083636450",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDWARD KUGLER",
            "identifier": "13626093204",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHASHAYAR VOSOUGH",
            "identifier": "1487692299",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RALPH CIFALDI",
            "identifier": "1508965344",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALINA LIBSTER",
            "identifier": "1285684597",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARLES HADDAD",
            "identifier": "1750329538",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAHIPA PALLIMULLA",
            "identifier": "1639124506",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRUCE BENNETT",
            "identifier": "1770518441",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.