JACQUELYN C. MCCONVILLE (NPI# 1558443655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558443655 |
| Entity Type | Individual |
| Full Name | JACQUELYN C. MCCONVILLE |
| Credential | MD |
| Practice Address |
5 22 Saddle River Rd Fair Lawn NJ 07410 |
| Practice Telephone | 2017962025 |
| Mailing Telephone | 2017962025 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MA07721100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
5 22 SADDLE RIVER RD |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649352832 | Neil E Share | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn Women's Health Group, Fair Lawn, NJ 07410 | 2006-10-19 |
| 1679655864 | James S Dolgin | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn, NJ 07410 | 2006-10-19 |
| 1942382148 | Michelle L Beloff | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn, NJ 07410 | 2006-10-19 |
| 1811079015 | Jeffrey M Reinkraut | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn, NJ 07410 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| 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 |
|---|---|---|---|---|
| 1285706705 | Fair Lawn Womens Health | Obstetrics & Gynecology | 5-22 Saddle River Road, Fair Lawn, NJ 07410-5611 | 2006-11-14 |
| 1760564876 | Ann C Mitzner | Obstetrics & Gynecology | 5-22 Saddle River Rd, Fair Lawn, NJ 07410-5611 | 2006-10-19 |
| 1710080254 | Sun-mei Wang | Obstetrics & Gynecology | 15-01 Broadway Ste 24, Fair Lawn, NJ 07410 | 2006-09-07 |
| 1538232970 | Barbara Melnikoff | Obstetrics & Gynecology | 33-00 Broadway, Suite 204, Fair Lawn, NJ 07410-4617 | 2006-11-15 |
| 1649352832 | Neil E Share | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn Women's Health Group, Fair Lawn, NJ 07410 | 2006-10-19 |
| 1679655864 | James S Dolgin | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn, NJ 07410 | 2006-10-19 |
| 1942382148 | Michelle L Beloff | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn, NJ 07410 | 2006-10-19 |
| 1811079015 | Jeffrey M Reinkraut | Obstetrics & Gynecology | 5 22 Saddle River Rd, Fair Lawn, NJ 07410 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172262 | Julia Buldo-licciardi | Obstetrics & Gynecology | 712 Beechcrest Dr, River Vale, NJ 07675-6053 | 2020-04-03 |
| 1154964773 | Gerard G Nahum | Obstetrics & Gynecology | 29 Canal Xing, Lake Hopatcong, NJ 07849-2419 | 2019-10-27 |
| 1558821587 | Todays Women Gynecology Pa | Obstetrics & Gynecology | 385 Prospect Ave Ste 314, Hackensack, NJ 07601-2570 | 2019-03-25 |
| 1679038962 | Nj Premier Women Health LLC | Obstetrics & Gynecology | 1300 Main Ave Ste 3c, Clifton, NJ 07011-2266 | 2019-01-31 |
| 1578041174 | St. Luke's Warren Physician Group, PC | Obstetrics & Gynecology | 39 Roseberry St Ste 2, Phillipsburg, NJ 08865-1627 | 2018-08-06 |
| 1881195881 | Fisayo Tunde | Obstetrics & Gynecology | 3322 Us Highway 22 Ste 1302, Branchburg, NJ 08876 | 2018-02-24 |
| 1477053072 | Vernon & Bustamante Assoc LLC | Obstetrics & Gynecology | 85 Nautilus Dr Ste A&b, Manahawkin, NJ 08050-2448 | 2018-02-20 |
| 1598264681 | Amy Patel | Obstetrics & Gynecology | 123 Franklin Corner Rd Ste 214, Lawrenceville, NJ 08648-2526 | 2018-02-05 |
| 1174033914 | Ragin Patel Md LLC | Obstetrics & Gynecology | 2177 Oak Tree Rd Ste 205, Edison, NJ 08820-1082 | 2017-10-06 |
| 1376067181 | Nghotra | Obstetrics & Gynecology | 3185 John F Kennedy Blvd, Jersey City, NJ 07306-3415 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
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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.