OB GYN PA – NPI #1336212802
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.

OB GYN PA is a provider located in HACKENSACK, NJ. NPPES has assigned the NPI number 1336212802 to OB GYN PA on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 18 years ago on Apr 17, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OB GYN PA below.

NPI Profile for
OB GYN PA

NPI Number
1336212802
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OB GYN PA
Primary location
20 PROSPECT AVENUE
SUITE 607
HACKENSACK, NJ 07601
Phone: (201) 487-3464 Fax: (201) 487-0232
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CYNTHIA CHETTUM
OFFICE MANAGER
Phone: (201) 487-3464
Updated
Identifiers

Identifiers for OB GYN PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNA HMO GROUP #NJ0511943
OTHERAETNA PPO GROUP #NJ8750176
OTHERRR MDCR GROUP #NJCF1821
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.