BERGEN WOMEN OB GYN ASSOC (NPI# 1396877007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396877007 |
| Entity Type | Organization |
| Organization Name | BERGEN WOMEN OB GYN ASSOC |
| Practice Address |
466 Old Hook Rd Ste 21 Emerson NJ 07630 |
| Practice Telephone | 2012628777 |
| Practice Fax Number | 2012624693 |
| Mailing Telephone | 2012628777 |
| Mailing Fax Number | 2012624693 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MRUDULA S SHUKLA (PRESIDENT) |
| Authorized Official Telephone | 2012628777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
466 OLD HOOK RD STE 21 |
| City | EMERSON |
| State | NJ |
| Zip Code | 07630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637025 | Vincent Francis Giacalone | Podiatrist | 466 Old Hook Rd, Ste 24d, Emerson, NJ 07630-1368 | 2005-05-24 |
| 1245837681 | Ginay Granda | Counselor | 466 Old Hook Rd, Emerson, NJ 07630-1396 | 2020-10-08 |
| 1801233176 | Bergen Gastroenterology P C | Non-Pharmacy Dispensing Site | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2013-05-28 |
| 1306169537 | Edward Costa | Podiatrist | 466 Old Hook Rd, Suite #1, Emerson, NJ 07630-1396 | 2010-03-02 |
| 1548594211 | Veena C Desai | Family Medicine | 466 Old Hook Rd, Bergen Medical Assoiciates Suite 1, Emerson, NJ 07630-1396 | 2009-09-28 |
| 1598927857 | Frank M.candido,m.d., P.a. | Internal Medicine | 466 Old Hook Rd, Suite 11& 12, Emerson, NJ 07630-1396 | 2008-06-27 |
| 1659556454 | Vincent F Giacalone | Durable Medical Equipment & Medical Supplies | 466 Old Hook Rd, Suite 24d, Emerson, NJ 07630-1396 | 2007-12-31 |
| 1821298795 | Sabrina L Tempesta | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630 | 2007-07-19 |
| 1669671327 | Melissa R Connolly | Obstetrics & Gynecology | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-13 |
| 1447457403 | Bergen Gastroenterology PC | Clinic/Center | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986208 | Serene Mind, LLC | Counselor | 32 Lincoln Blvd, Emerson, NJ 07630 | 2020-06-09 |
| 1215451943 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2a, Emerson, NJ 07630 | 2017-08-03 |
| 1760725808 | Affinity Home Care Services | Home Health | 16 Chestnut Avenue, Suite 302 W, Emerson, NJ 07630 | 2013-03-27 |
| 1982768800 | Effie Sofos | Dentist | 309 Kinderkamack Rd, Emerson, NJ 07630 | 2006-12-22 |
| 1114936838 | Frederick William Denike | Dentist | 24 Emerson Plaza West, Emerson, NJ 07630 | 2006-08-05 |
| 1720007743 | Carnig C Shakarjian | Podiatrist | 99 Kinderkamack Rd, Emerson, NJ 07630 | 2006-07-19 |
| 1740257880 | Mona Patel | Psychiatry & Neurology | 70 Kinderkamack Road, Suite # 201, Emerson, NJ 07630 | 2006-03-08 |
| 1134643869 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 1b, Emerson, NJ 07630 | 2017-08-03 |
| 1942725601 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2b, Emerson, NJ 07630 | 2017-08-03 |
| 1023533783 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 3a, Emerson, NJ 07630 | 2017-08-03 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| 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 |
|---|---|---|---|---|
| 1609168079 | Maria Christina Rosalie | Obstetrics & Gynecology | 466 Old Hook Rd Ste 1, Emerson, NJ 07630-1368 | 2011-05-04 |
| 1669671327 | Melissa R Connolly | Obstetrics & Gynecology | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-13 |
| 1285671651 | Mrudula S Shukla | Obstetrics & Gynecology | 466 Old Hook Rd, Ste 21, Emerson, NJ 07630 | 2006-06-02 |
| 1851374326 | Michele Isaacs Gliksman | Obstetrics & Gynecology | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172262 | Julia Buldo-licciardi | Obstetrics & Gynecology | 712 Beechcrest Dr, River Vale, NJ 07675-6053 | 2020-04-03 |
| 1154964773 | Gerard G Nahum | Obstetrics & Gynecology | 29 Canal Xing, Lake Hopatcong, NJ 07849-2419 | 2019-10-27 |
| 1558821587 | Todays Women Gynecology Pa | Obstetrics & Gynecology | 385 Prospect Ave Ste 314, Hackensack, NJ 07601-2570 | 2019-03-25 |
| 1679038962 | Nj Premier Women Health LLC | Obstetrics & Gynecology | 1300 Main Ave Ste 3c, Clifton, NJ 07011-2266 | 2019-01-31 |
| 1578041174 | St. Luke's Warren Physician Group, PC | Obstetrics & Gynecology | 39 Roseberry St Ste 2, Phillipsburg, NJ 08865-1627 | 2018-08-06 |
| 1881195881 | Fisayo Tunde | Obstetrics & Gynecology | 3322 Us Highway 22 Ste 1302, Branchburg, NJ 08876 | 2018-02-24 |
| 1477053072 | Vernon & Bustamante Assoc LLC | Obstetrics & Gynecology | 85 Nautilus Dr Ste A&b, Manahawkin, NJ 08050-2448 | 2018-02-20 |
| 1598264681 | Amy Patel | Obstetrics & Gynecology | 123 Franklin Corner Rd Ste 214, Lawrenceville, NJ 08648-2526 | 2018-02-05 |
| 1174033914 | Ragin Patel Md LLC | Obstetrics & Gynecology | 2177 Oak Tree Rd Ste 205, Edison, NJ 08820-1082 | 2017-10-06 |
| 1376067181 | Nghotra | Obstetrics & Gynecology | 3185 John F Kennedy Blvd, Jersey City, NJ 07306-3415 | 2017-08-02 |
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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.