Organization Active NPI

Ur GYN Womens Health LLC

  • Obstetrics Physician
  • Ridgewood, NJ
National Provider Identifier
1811444722
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
UR GYN WOMENS HEALTH LLC
Practice address
615 Franklin Tpke
Ridgewood, NJ 07450-1903
Phone
(201) 447-1700
Fax
(201) 447-9386
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Eric Bentolila, MD
Title
MD
Phone
(732) 886-5526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

615 Franklin Tpke
Ridgewood, NJ 07450-1903

Mailing address

500 River Ave
Suite 255
Lakewood, NJ 08701-4738
Phone (732) 886-5526

National Provider Directory

National Provider Directory
Tax ID family
Ur GYN Womens Health LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1811444722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RIVER AVE",
            "address_2": "SUITE 255",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014738",
            "telephone_number": "732-886-5526",
            "fax_number": "201-447-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FRANKLIN TPKE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501903",
            "telephone_number": "201-447-1700",
            "fax_number": "201-447-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UR GYN WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BENTOLILA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-886-5526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.