Lakewood Obstetrics & Gynecology PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA08638800 Issued in NJ

Legal business name

LAKEWOOD OBSTETRICS & GYNECOLOGY PA

Practice address

1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701

Phone

(732) 994-4242

Fax

(732) 363-5164

NPI assigned

Nov 28, 2014

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clara Surowitz, MDNPI 1881817278

Title

Owner

Phone

(248) 914-1139

Specialties & licenses 1

Addresses

Locations

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.

• Clara Pauline Surowitz, MD

  • Obstetrics & Gynecology Physician
  • Lakewood, NJ
  • NPI 1881817278
  Authorized official Same address or phone

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1982001434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013833",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD OBSTETRICS & GYNECOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "SUROWITZ",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-914-1139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08638800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.