Organization Active NPI

North Dover OB-GYN Associates

  • Obstetrics & Gynecology Physician
  • Toms River, NJ
National Provider Identifier
1821039785
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTH DOVER OB-GYN ASSOCIATES
Practice address
222 Oak Ave
Toms River, NJ 08753-3348
Phone
(732) 914-1919
Fax
(732) 341-3303
NPI assigned
Jun 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. John R. J. Sutherland, MDNPI 1134159742
Title
Medical Director
Phone
(732) 914-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NJ Primary

Addresses

Primary practice location

222 Oak Ave
Toms River, NJ 08753-3348

Mailing address

222 Oak Ave
Toms River, NJ 08753-3348
Phone (732) 914-1919

Other identifiers 2

IdentifierTypeStateIssuer
0116070000OtherNJAMERIHEALTH
3378306MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0122895North Dover OB-GYN Associates222 Oak Avenue, Toms River, NJ 08753Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821039785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 OAK AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533348",
            "telephone_number": "732-914-1919",
            "fax_number": "732-341-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 OAK AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533348",
            "telephone_number": "732-914-1919",
            "fax_number": "732-341-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DOVER OB-GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R. J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-914-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0116070000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3378306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.