Organization Active NPI

Health Wise Women

  • Obstetrics & Gynecology Physician
  • Hoboken, NJ
National Provider Identifier
1992026165
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08667800 Issued in NJ
Legal business name
HEALTH WISE WOMEN
Practice address
79 Hudson Street
Suite 204
Hoboken, NJ 07030
Phone
(201) 222-5451
Fax
(201) 604-6332
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Dr. Mohamed Esiely, MDNPI 1083942635
Title
Presidant
Phone
(201) 647-6794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MA08667800 NJ Primary

Addresses

Primary practice location

79 Hudson Street
Suite 204
Hoboken, NJ 07030

Mailing address

79 Hudson Street
Suite 204
Hoboken, NJ 07030
Phone (201) 222-5451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100807000040 NJ Part B Supplier - Clinic/Group Practice 5395878698 Receives reassigned benefits from 1 practitioner
Practice locations: Hoboken, NJ

National Provider Directory

National Provider Directory

Locations

79 Hudson St
Ste 204
Hoboken, NJ 07030
Phone (201) 222-5451

550 Summit Ave
Ste 1A
Jersey City, NJ 07306
Phone (201) 222-5450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14716/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1992026165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HUDSON STREET",
            "address_2": "SUITE 204",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-222-5451",
            "fax_number": "201-604-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON STREET",
            "address_2": "SUITE 204",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-222-5451",
            "fax_number": "201-604-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WISE WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "ESIELY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "201-647-6794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08667800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.