PERINATAL & GYNECOLOGICAL SONOGRAPHY SERVICES, LLC (NPI# 1043558471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043558471 |
| Entity Type | Organization |
| Organization Name | PERINATAL & GYNECOLOGICAL SONOGRAPHY SERVICES, LLC |
| Other Organization Name | THE GENESIS OB/GYN ULTRASOUND GROUP, LLC |
| Practice Address |
1860 Springfield Ave Maplewood NJ 07040-2905 |
| Mailing Address |
233 Rock Rd # 208 Glen Rock NJ 07452-1708 |
| Practice Telephone | 2013265696 |
| Practice Fax Number | 2013265613 |
| Mailing Telephone | 2013265696 |
| Mailing Fax Number | 2013265613 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | CAMILLE D WALKER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2013265696 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
25MA06233200 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Genesis OB/GYN Ultrasound Group, LLC | Doing Business As Name - Organization |
| Street Address |
1860 SPRINGFIELD AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1760947519 | Yale Perinatal Associates, LLC | Obstetrics & Gynecology | 4 Equinox Ln, Freehold, NJ 07728-8651 | 2019-02-06 |
| 1861894982 | Saint Peter's Specialty Physicians, P.C. | Obstetrics & Gynecology | 2290 W County Line Rd Ste 101, Jackson, NJ 08527-2156 | 2014-09-19 |
| 1679838296 | Ruchira Sharma | Obstetrics & Gynecology | 125 Paterson St Fl Street2, New Brunswick, NJ 08901-1962 | 2012-07-10 |
| 1316207962 | Antonia Francis Kim | Obstetrics & Gynecology | 30 Prospect Ave # 2w-73, Hackensack, NJ 07601-1915 | 2012-05-16 |
| 1295063410 | Kenneth Allen Kappy | Obstetrics & Gynecology | 9 Harrison Way, Mount Arlington, NJ 07856-2325 | 2009-11-29 |
| 1407087711 | George Guirguis | Obstetrics & Gynecology | 104 Hudson St Ste 2a, Hoboken, NJ 07030-5795 | 2009-08-04 |
| 1114182763 | Ahmad Khalili | Obstetrics & Gynecology | 648 Avenue C, Bayonne, NJ 07002-3815 | 2008-07-23 |
| 1740464882 | Royland Robinson | Obstetrics & Gynecology | 100 Old Palisade Rd Apt 1412, Fort Lee, NJ 07024-7016 | 2007-12-26 |
| 1073715108 | Adam J Duhl | Obstetrics & Gynecology | 599 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2007-06-01 |
| 1770611907 | Yvonne S. Thornton | Obstetrics & Gynecology | 30 Prospect Ave Ste 2w-73, Hackensack, NJ 07601-1915 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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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.