NPIMap

Organization Active NPI

Faben Obstetrics and Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1902475569
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FABEN OBSTETRICS AND GYNECOLOGY LLC
Practice address
4181 Southpoint Dr E Ste 300
Jacksonville, FL 32216-8083
Phone
(904) 346-0050
Fax
(904) 346-0080
NPI assigned
Jun 18, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA WOMAN CARE,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Erica Hernandez
Title
Manager
Phone
(561) 300-2410

Specialties & licenses 1

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

Addresses

Primary practice location

4181 Southpoint Dr E Ste 300
Jacksonville, FL 32216-8083

Mailing address

PO Box 9100
Belfast, ME 04915-9100
Phone (561) 300-2410

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
10D2091401Faben Obstetrics & Gynecology LLC4181 Southpoint Dr E Ste 300, Jacksonville, FL 32216Provider-performed microscopyFeb 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Miami Women's Health Associates327 organizations share this tax ID, including this one
Part of
Miami Women's Health Associates

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

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": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1902475569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9100",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159100",
            "telephone_number": "561-300-2410",
            "fax_number": "561-235-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 SOUTHPOINT DR E STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168083",
            "telephone_number": "904-346-0050",
            "fax_number": "904-346-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABEN OBSTETRICS AND GYNECOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA WOMAN CARE,LLC",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-300-2410"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.