Active NPI
Kenneth Treadwell Jr. MD PC
- Obstetrics & Gynecology Physician
- Irvington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- KENNETH TREADWELL JR. MD PC
- Practice address
- 1387 Clinton Ave
Irvington, NJ 07111-1442 - Phone
- (973) 372-1441
- Fax
- (973) 372-6019
- NPI assigned
- Mar 7, 2011
- Last updated
- Mar 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Treadwell Jr., MD
- Title
- President
- Phone
- (973) 372-1441
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
1387 Clinton Ave
Irvington, NJ 07111-1442
Mailing address
1387 Clinton Ave
Irvington, NJ 07111
Phone (973) 372-1441
National Provider Directory
National Provider DirectoryLocations
1387 Clinton Ave
Irvington, NJ 07111
Phone (973) 372-1374
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.
-
- Obstetrics & Gynecology Physician
- Irvington, NJ
- NPI 1659347086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299456000000",
"number": "1871891440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1387 CLINTON AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "07111",
"telephone_number": "973-372-1441",
"fax_number": "973-372-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 CLINTON AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111442",
"telephone_number": "973-372-1441",
"fax_number": "973-372-6019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH TREADWELL JR. MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-07",
"last_updated": "2011-03-07",
"status": "A",
"authorized_official_last_name": "TREADWELL",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-372-1441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.