RARITAN OB GYN ASSOCIATES (NPI# 1578602280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578602280 |
| Entity Type | Organization |
| Organization Name | RARITAN OB GYN ASSOCIATES |
| Practice Address |
485 New Brunswick Ave Suite 100 Perth Amboy NJ 08861-3675 |
| Practice Telephone | 7323244290 |
| Practice Fax Number | 7323244293 |
| Mailing Telephone | 7323244290 |
| Mailing Fax Number | 7323244293 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH TREADWELL JR. (PRESIDENT) |
| Authorized Official Telephone | 7323244290 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
485 NEW BRUNSWICK AVE SUITE 100 |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861-3675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609800564 | Joseph Vaydovsky | Obstetrics & Gynecology | 485 New Brunswick Ave, Perth Amboy, NJ 08861 | 2006-07-10 |
| 1265634737 | Diana Bucolo-van Dyke | Dentist | 485 New Brunswick Ave, Perth Amboy, NJ 08861-3675 | 2007-06-05 |
| 1942321047 | Lily Chan | Dentist | 485 New Brunswick Ave, Suite 200, Perth Amboy, NJ 08861-3675 | 2007-04-03 |
| 1265559330 | Hugo Quinones | Dentist | 485 New Brunswick Ave, Suite 101, Perth Amboy, NJ 08861-3675 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1326477027 | Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2013-11-04 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336402270 | Racquel Rodney | Specialist | 116 1/2 Rector St, Perth Amboy, NJ 08861 | 2012-06-15 |
| 1245529445 | Gps of New Jersey Md PC | Specialist | 272 High Street, Perth Amboy, NJ 08861-4406 | 2011-03-29 |
| 1831249036 | Middlesex Physical Therapy Services Inc. | Specialist | 40 New Brunswick Ave, Perth Amboy, NJ 08861-5000 | 2007-01-11 |
| 1306939434 | Raritan Bay Medical Center Professional Services | Specialist | 500 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-02 |
| 1982631388 | Primary Care Network At Raritan Bay Inc | Specialist | 466 New Brunswick Ave, Perth Amboy, NJ 08861-3647 | 2006-06-28 |
| 1225323967 | Old Bridge Anesthesiology PC | Specialist | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2011-06-10 |
| 1306034798 | Qurban Ali Babar | Specialist | 40 New Brunswick Ave, Perth Amboy, NJ 08861-5000 | 2007-10-10 |
| 1134201635 | Raritan Bay Medical Center Professional Services | Specialist | 516 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-20 |
| 1265529523 | Raritan Bay Medical Center Professional Services | Specialist | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2006-10-06 |
| 1376645325 | Thomas Kincade | Specialist | 104 Market St, Perth Amboy, NJ 08861-4412 | 2006-09-01 |
| Find all providers in PERTH AMBOY | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
Please comment or provide details below to improve the information on RARITAN OB GYN ASSOCIATES.
| 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.