PROSPECT WOMEN'S MEDICAL GROUP, P.C. (NPI# 1760719793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760719793 |
| Entity Type | Organization |
| Organization Name | PROSPECT WOMEN'S MEDICAL GROUP, P.C. |
| Practice Address |
120 Prospect Ave Hackensack NJ 07601-2256 |
| Practice Telephone | 2013421600 |
| Practice Fax Number | 2013422280 |
| Mailing Telephone | 2013421600 |
| Mailing Fax Number | 2013422280 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | ROBIN H. LEVAT (PRESIDENT) |
| Authorized Official Telephone | 2013421600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
25MA05630700 | NJ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 25MA05630700 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 25MA05630700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
120 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523633 | Robin Levat | Specialist | 120 Prospect Ave, Hackensack, NJ 07601-2256 | 2005-07-27 |
| 1255518205 | Alfredo Salvatore Masullo | Dermatology | 120 Prospect Ave, Hackensack, NJ 07601-2256 | 2008-01-22 |
| 1134288202 | Michele Jackson Newman | Nurse Practitioner | 120 Prospect Ave, Hackensack, NJ 07601-2256 | 2006-12-06 |
| 1275571242 | Prospect Women's Medical Center | Specialist | 120 Prospect Ave, Hackensack, NJ 07601-2256 | 2006-06-03 |
| 1336149301 | Alfredo S Masullo Md Pa | Dermatology | 120 Prospect Ave, Hackensack, NJ 07601-2256 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| 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 |
|---|---|---|---|---|
| 1558821587 | Todays Women Gynecology Pa | Obstetrics & Gynecology | 385 Prospect Ave Ste 314, Hackensack, NJ 07601-2570 | 2019-03-25 |
| 1972845055 | Amanda Lynn Ganza | Obstetrics & Gynecology | 20 Prospect Ave Ste 805, Hackensack, NJ 07601-1974 | 2013-03-26 |
| 1043549512 | Emre Kayaalp | Obstetrics & Gynecology | 30 Prospect Ave Rm 4e-90, Hackensack, NJ 07601 | 2009-12-13 |
| 1053537472 | Shelley B Saber | Obstetrics & Gynecology | Humc Department of Obstetrics and Gynecology, 30 Prospect Ave, Hackensack, NJ 07061 | 2007-04-17 |
| 1265552897 | Sara Judith Kostant | Obstetrics & Gynecology | 30 Prospect Ave # 4e-90, Hackensack, NJ 07601-1915 | 2007-03-29 |
| 1316987670 | Adam Shoman | Obstetrics & Gynecology | 155 Polifly Rd Ste 207, Hackensack, NJ 07601-1749 | 2006-06-07 |
| 1982650545 | Huseyin Copur | Obstetrics & Gynecology | 301 Beech St, Suite6, Hackensack, NJ 07601-2114 | 2006-05-25 |
| 1215992011 | Anna Altagracia Collado-cocke | Obstetrics & Gynecology | 150 Overlook Avenue, Office #1, Hackensack, NJ 07601 | 2006-04-18 |
| 1619943446 | Niketa Vinod Govindani | Obstetrics & Gynecology | 211 Essex St Ste 301, Hackensack, NJ 07601-3246 | 2006-02-23 |
| 1215401641 | Barbara A Cavallaro, Md PC | Obstetrics & Gynecology | 211 Essex St Ste 402, Hackensack, NJ 07601-3246 | 2019-01-18 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on PROSPECT WOMEN'S MEDICAL GROUP, P.C..
| 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.