Organization Active NPI

Fleisch Obstetrical & Gynecological Group, PA

  • Obstetrics & Gynecology Physician
  • Edison, NJ
National Provider Identifier
1811080666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FLEISCH OBSTETRICAL & GYNECOLOGICAL GROUP, PA
Practice address
3 Lincoln Highway
Suite 315
Edison, NJ 08820
Phone
(732) 635-9800
Fax
(732) 635-9810
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles M Fleisch, D.O.
Title
Physician
Phone
(732) 635-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3 Lincoln Highway
Suite 315
Edison, NJ 08820

Mailing address

3 Lincoln Highway
Suite 315
Edison, NJ 08820
Phone (732) 635-9800

Other identifiers 1

IdentifierTypeStateIssuer
075987OtherNJMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

415 Avenel St
Avenel, NJ 07001
Phone (732) 636-2122

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811080666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LINCOLN HIGHWAY",
            "address_2": "SUITE 315",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-635-9800",
            "fax_number": "732-635-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LINCOLN HIGHWAY",
            "address_2": "SUITE 315",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-635-9800",
            "fax_number": "732-635-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEISCH OBSTETRICAL & GYNECOLOGICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEISCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-635-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "075987",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • 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.