ESSEX OB-GYN, LLC


Address: 85 Park St, Montclair, NJ 07042-3465
Phone: 9735093888

ESSEX OB-GYN, LLC (NPI# 1811017361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811017361
Entity Type Organization
Organization Name ESSEX OB-GYN, LLC
Practice Address 85 Park St
Montclair
NJ 07042-3465
Practice Telephone 9735093888
Practice Fax Number 9735093880
Mailing Telephone 9735093888
Mailing Fax Number 9735093880
Enumeration Date 2007-03-29
Last Update Date 2013-04-15
Authorized Official Name JANE S LEE (PRESIDENT)
Authorized Official Telephone 9735093888
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
25MA06099300 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ NPI 1962450254 01

Office Location

Street Address 85 PARK ST
City MONTCLAIR
State NJ
Zip Code 07042-3465

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962450254 Jane S. Lee Obstetrics & Gynecology 85 Park St, Montclair, NJ 07042-3465 2006-05-05
1962548560 Joseph A Chan Social Worker 85 Park St, Montclair, NJ 07042-2905 2007-01-30

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1306077144 John J K Tan Md Pa Clinic/Center 77 Park St, Montclair, NJ 07042-2962 2009-07-28
1154555795 D Starks Md Incorporated Clinic/Center 5153 Holt Blvd, Suite B-2, Montclair, CA 91763-4837 2009-05-12

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Competitor

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City MONTCLAIR
Zip Code 07042

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Dataset Information

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.

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