Perinatal Services of Northern New Jersey

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

MA051365 Issued in NJ

Legal business name

PERINATAL SERVICES OF NORTHERN NEW JERSEY

Practice address

57 Willowbrook Blvd
Suite 301
Wayne, NJ 07470-7045

Phone

(973) 754-3800

Fax

(973) 754-4051

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Aldo Khoury, M.D., F.A.C.O.G.

Title

President

Phone

(973) 754-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1851555056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WILLOWBROOK BLVD",
            "address_2": "SUITE 301",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707045",
            "telephone_number": "973-754-3800",
            "fax_number": "973-754-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WILLOWBROOK BLVD",
            "address_2": "SUITE 301",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707045",
            "telephone_number": "973-754-3800",
            "fax_number": "973-754-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL SERVICES OF NORTHERN NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "ALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-754-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,  F.A.C.O.G."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "MA051365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maternal & Fetal Medicine Physician in Wayne, NJ
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• Maternal & Fetal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.