Organization Active NPI

Cedar Hill Obstetrics & Gynecology Associates,PA

  • Specialist
  • Wyckoff, NJ
National Provider Identifier
1801033501
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07923800 Issued in NJ
Legal business name
CEDAR HILL OBSTETRICS & GYNECOLOGY ASSOCIATES,PA
Practice address
541 Cedar Hill Ave
Wyckoff, NJ 07481-2150
Phone
(201) 447-6262
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Melody Behnam, MDNPI 1467418459
Title
OB/GYN
Phone
(201) 447-6262

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: 193200000X MULTI-SPECIALTY GROUP 174400000X 25MA07923800 NJ Primary

Addresses

Primary practice location

541 Cedar Hill Ave
Wyckoff, NJ 07481-2150

Mailing address

541 Cedar Hill Ave
Wyckoff, NJ 07481-2150
Phone (201) 447-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090724000513 NJ Part B Supplier - Clinic/Group Practice 4284787110 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgewood, NJ

National Provider Directory

National Provider Directory
Tax ID family
Cedar Hill OB and GYN Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

317 Franklin Ave
Ridgewood, NJ 07450
Phone (201) 447-1620

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1801033501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-447-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-447-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL OBSTETRICS & GYNECOLOGY ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "BEHNAM",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "201-447-6262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07923800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.