NPIMap

Organization Active NPI

Vineland Obstetrical & Gynecologial Professional Association

  • Obstetrics & Gynecology Physician
  • Vineland, NJ
National Provider Identifier
1821042011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VINELAND OBSTETRICAL & GYNECOLOGIAL PROFESSIONAL ASSOCIATION
Practice address
484 S Brewster Rd
Suite a-1
Vineland, NJ 08361-7874
Phone
(856) 696-0300
Fax
(856) 696-2561
NPI assigned
May 20, 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. Ronald P Portadin, M.D.
Title
Partner
Phone
(856) 696-0300

Specialties & licenses 1

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

Addresses

Primary practice location

484 S Brewster Rd
Suite a-1
Vineland, NJ 08361-7874

Mailing address

484 S Brewster Rd
Suite a-1
Vineland, NJ 08361-7874
Phone (856) 696-0300

Other identifiers 1

IdentifierTypeStateIssuer
2598001MedicaidNJ

Other names 1

  • Women's Medical Centre Doing business as

National Provider Directory

National Provider Directory

Locations

3980 Black Horse Pike
Mays Landing, NJ 08330
Phone (609) 625-1600

4450 Black Horse Pike
Ste 3980
Mays Landing, NJ 08330
Phone (609) 625-1600

3980 Black Horse Pike
Mays Landing, NJ 08330
Phone (609) 625-1600

484 S Brewster Rd
Ste A1
South Vineland, NJ 08361
Phone (609) 696-0300

1318 S Main Rd
Ste 3A
Vineland, NJ 08360
Phone (856) 462-6350

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821042011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 S BREWSTER RD",
            "address_2": "SUITE A-1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617874",
            "telephone_number": "856-696-0300",
            "fax_number": "856-696-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 S BREWSTER RD",
            "address_2": "SUITE A-1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617874",
            "telephone_number": "856-696-0300",
            "fax_number": "856-696-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINELAND OBSTETRICAL & GYNECOLOGIAL PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTADIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-696-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Medical Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineland, 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.