Organization Active NPI

Wayne OB GYN LLC

  • Specialist
  • Newfoundland, NJ
National Provider Identifier
1912122011
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WAYNE OB GYN LLC
Practice address
7 Oak Ridge Rd
Newfoundland, NJ 07435-1452
Phone
(973) 694-2222
Fax
(973) 694-5184
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Diane Rein
Title
Billing Supervisor
Phone
(973) 694-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

7 Oak Ridge Rd
Newfoundland, NJ 07435-1452

Mailing address

PO Box 363
Pequannock, NJ 07440-0363
Phone (973) 694-2222

National Provider Directory

National Provider Directory

Locations

330 Ratzer Rd
Ste 7
Wayne, NJ 07470
Phone (973) 694-2222

Practitioners & affiliated clinicians

Practitioners 12

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1912122011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074400363",
            "telephone_number": "973-694-2222",
            "fax_number": "973-694-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK RIDGE RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351452",
            "telephone_number": "973-694-2222",
            "fax_number": "973-694-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE OB GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "REIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "973-694-2222"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfoundland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.