Northern Valley Oba, PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NORTHERN VALLEY OBA, PA

Practice address

375 Engle St
Second Floor
Englewood, NJ 07631-1823

Phone

(201) 871-6073

Fax

(201) 871-0619

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey A Weiss, MD

Title

President

Phone

(561) 623-2000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1992894091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR",
            "address_2": "SUITE 450",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184204",
            "telephone_number": "561-623-2000",
            "fax_number": "865-291-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ENGLE ST",
            "address_2": "SECOND FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311823",
            "telephone_number": "201-871-6073",
            "fax_number": "201-871-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VALLEY OBA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-623-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9942",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078891",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Anesthesia and Pain Management, LLC
• Northern Jersey Plastic Surgery Center, LLC
• Northern New Jersey Dialysis, LLC
• Northern Valley Anesthesiology, P.a.
• Northern Valley ENT & Facial Plastics
• Maria Camille B Nunez, LCSW
• Nuovo Psychiatry
• Kelly Nussbaum, APRN
• Beatrice Nyarko, LPN
• Claudia O'Neill

• All providers in Englewood, NJ
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.