NPIMap

Organization Active NPI

Women and Children Primary Care of Passaic

  • Obstetrics & Gynecology Physician
  • Passaic, NJ
National Provider Identifier
1831278282
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN AND CHILDREN PRIMARY CARE OF PASSAIC
Practice address
61 Passaic Ave
Passaic, NJ 07055-4801
Phone
(973) 473-5053
Fax
(973) 574-9430
NPI assigned
Nov 6, 2006
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mrs. Marilyn Crespo
Title
Office Manager
Phone
(973) 473-5053

Specialties & licenses 1

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

Addresses

Primary practice location

61 Passaic Ave
Passaic, NJ 07055-4801

Mailing address

61 Passaic Ave
Passaic, NJ 07055-4801
Phone (973) 473-5053

National Provider Directory

National Provider Directory

Locations

61 Passaic Ave
Passaic, NJ 07055
Phone (973) 405-0050

61 Passaic Ave
Ste 1
Passaic, NJ 07055

Practitioners & affiliated clinicians

Practitioners 9

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1831278282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554801",
            "telephone_number": "973-473-5053",
            "fax_number": "973-574-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554801",
            "telephone_number": "973-473-5053",
            "fax_number": "973-574-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN AND CHILDREN PRIMARY CARE OF PASSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-473-5053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.