Essex OB-GYN, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA06099300 Issued in NJ

Legal business name

ESSEX OB-GYN, LLC

Practice address

85 Park St
Montclair, NJ 07042-3465

Phone

(973) 509-3888

Fax

(973) 509-3880

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Jane S Lee, MD

Title

President

Phone

(973) 509-3888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1811017361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423465",
            "telephone_number": "973-509-3888",
            "fax_number": "973-509-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423465",
            "telephone_number": "973-509-3888",
            "fax_number": "973-509-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX OB-GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-509-3888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA06099300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962450254",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Counseling Services of NJ Inc (Essential Counseling Services)
• Essex Counseling Associates
• Essex Endodontics PC
• Essex Heart Group, LLC
• Essex Lab LLC
• Essex Pulmonary Medical Associates
• Essex Womens Health Center, PA
• Jeffrey A Esteves, PT, DPT
• Eugene M.J. Pugatch, M.D., P.a.
• Sharon Evancio, LPC

• Medical Specialty Clinic/Center in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.