LIBERTY WOMEN OB/GYN PC


Address: 377 Jersey Avenue, Suite 250, Jersey City, NJ 07302-4396
Phone: 2017636763

LIBERTY WOMEN OB/GYN PC (NPI# 1932334224) 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) 1932334224
Entity Type Organization
Organization Name LIBERTY WOMEN OB/GYN PC
Practice Address 377 Jersey Avenue
Suite 250
Jersey City
NJ 07302-4396
Practice Telephone 2017636763
Practice Fax Number 2017636774
Mailing Telephone 2017636763
Mailing Fax Number 2017636774
Enumeration Date 2009-05-15
Last Update Date 2014-04-24
Authorized Official Name DR. AHMED S. YOUSRY (PRESIDENT)
Authorized Official Telephone 2017636763
Authorized Official Credential M.D., FACOG
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
25MA 07533400 NJ Ambulatory Health Care Facilities

Office Location

Street Address 377 JERSEY AVENUE
SUITE 250
City JERSEY CITY
State NJ
Zip Code 07302-4396

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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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Competitor

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City JERSEY CITY
Zip Code 07302

Improve Information

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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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