Northeast Women's Center, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORTHEAST WOMEN'S CENTER, INC.

Practice address

2751 Comly Rd
Philadelphia, PA 19154-2101

Phone

(800) 877-6336

NPI assigned

May 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Marie Vail

Title

Network Billing Coordinator

Phone

(856) 414-1120

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David T Broizman, MD

  • Gynecology Physician
  • Cherry Hill, NJ
  • NPI 1952365645
  NPD (past)
• Curtiss P Hannum, C.R.N.P.

  • Women's Health Nurse Practitioner
  • Cherry Hill, NJ
  • NPI 1346206273
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811940760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KINGS HWY N",
            "address_2": "SUITE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 COMLY RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191542101",
            "telephone_number": "800-877-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WOMEN'S CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NETWORK BILLING COORDINATOR",
        "authorized_official_telephone_number": "856-414-1120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT BLUE CROSS",
            "identifier": "0053004000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30018608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northeastern Cardiology Associates, LTD.
• Northeastern Dentistry @ Overbrook
• Northeastern Dentistry at Cottman
• Northeastern Urological Associates
• Northern Home Children and Family Service

• Obstetrics & Gynecology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• 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.