WAYNE OBSTETRICS & GYNECOLOGY ASSOCIATES P C (NPI# 1477790491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477790491 |
| Entity Type | Organization |
| Organization Name | WAYNE OBSTETRICS & GYNECOLOGY ASSOCIATES P C |
| Other Organization Name | WAYNE OBSTETRICS & GYNECOLOGY ASSOCIATES P C |
| Practice Address |
510 Hamburg Tpke Suite 202 Wayne NJ 07470-2025 |
| Practice Telephone | 9739423500 |
| Practice Fax Number | 9739423881 |
| Mailing Telephone | 9739423500 |
| Mailing Fax Number | 9739423881 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | FARUZA GOF (OFFICE MANAGER) |
| Authorized Official Telephone | 9739423500 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE OBSTETRICS AND GYNECOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MA059982 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6133606 | 05 |
| Other Name | Type Code |
|---|---|
| wayne obstetrics & gynecology associates p c | Doing Business As Name - Organization |
| Street Address |
510 HAMBURG TPKE SUITE 202 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729475 | Cyrus Vosough | Physical Medicine & Rehabilitation | 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025 | 2005-06-02 |
| 1659920700 | Sanjay Raval | Nurse Practitioner | 510 Hamburg Tpke, Wayne, NJ 07470-2025 | 2019-09-10 |
| 1366829392 | Ellen Garfing | Nurse Practitioner | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2015-04-28 |
| 1154665743 | Melissa Gaydos | Nurse Practitioner | 510 Hamburg Tpke, #208, Wayne, NJ 07470-2025 | 2012-11-20 |
| 1982968517 | Russell Samofal | Podiatrist | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470 | 2012-06-28 |
| 1497072193 | Wayne Cardiology,llc | Internal Medicine | 510 Hamburg Tpke, Suite 107, Wayne, NJ 07470-2025 | 2010-04-21 |
| 1023348281 | Michael Hubert Leonardo | Internal Medicine | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2010-01-10 |
| 1366675357 | Eraibe & Eraiba Internal Medicine | Internal Medicine | 510 Hamburg Tpke, Suit 208, Wayne, NJ 07470-2025 | 2009-08-25 |
| 1528225315 | Irfan R Farhat | Dentist | 510 Hamburg Tpke, Suit. 105, Wayne, NJ 07470-2025 | 2008-05-20 |
| 1043489040 | Frank Anthony Tamaro | Dentist | 510 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2025 | 2008-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669843892 | Sarah Barber | Obstetrics & Gynecology | 57 Willowbrook Blvd Ste 301, Wayne, NJ 07470-7047 | 2015-10-14 |
| 1912299777 | Athena Healthcare Group LLC | Obstetrics & Gynecology | 145 Rte 46 W, Suite 304, Wayne, NJ 07470-6830 | 2011-05-11 |
| 1043525439 | Diana Rodrigues Vitale | Obstetrics & Gynecology | 502 Valley Rd, Suite 106, Wayne, NJ 07470-3509 | 2010-08-10 |
| 1942467378 | John W. Armstead M.d. PC | Obstetrics & Gynecology | 4020 Venoy Rd., Suite 400, Wayne, MI 48184-1891 | 2008-05-22 |
| 1073666129 | Nawal M Desoky | Obstetrics & Gynecology | 2411 Hamburg Tpke, Wayne, NJ 07470-6225 | 2007-01-20 |
| 1972671170 | Debra L Rosenzweig | Obstetrics & Gynecology | 2035 Hamburg Turnpike, Ste C, Wayne, NJ 07405 | 2006-12-04 |
| 1386732600 | Sonia M Gof | Obstetrics & Gynecology | 510 Hamburg Tnpk, Suite 202, Wayne, NJ 07470 | 2006-10-11 |
| 1528092608 | Les A Burns | Obstetrics & Gynecology | 1784 Hamburg Tpke, Wayne, NJ 07470 | 2006-07-11 |
| 1801826987 | Cameron A Darvish Do Ms PC | Obstetrics & Gynecology | 401 Hamburg Turnpike, Suite 309, Wayne, NJ 07470 | 2006-07-04 |
| 1194794412 | Adilakshmi Kaza | Obstetrics & Gynecology | 4020 Venoy Rd, Suite 400, Wayne, MI 48184-1869 | 2006-03-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.