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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
25MA06099300 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | NPI | 1962450254 | 01 |
Street Address |
85 PARK ST |
City | MONTCLAIR |
State | NJ |
Zip Code | 07042-3465 |
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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1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
Find all providers in zip 07042 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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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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.