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OBGYN ASSOCIATES OF ENGLEWOOD
NPI 1033290432
Obstetrics & Gynecology in Englewood, NJ

Active since October 18, 2006CLIA Certified · 2 labs
177 NORTH DEAN STREET, SUITE 208, ENGLEWOOD, NJ 07631(201) 569-0200(201) 569-8287 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Obgyn Associates Of Englewood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBGYN ASSOCIATES OF ENGLEWOOD (NPI 1033290432) is a healthcare organization registered as an obstetrics & gynecology in Englewood, New Jersey and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Bruce Herman Tisch, President, as its authorized official.

NPPES Registry Identity

NPI1033290432
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOBGYN ASSOCIATES OF ENGLEWOOD
Location Address177 NORTH DEAN STREET, SUITE 208Englewood, NJ 07631
Mailing Address177 North Dean Street, Suite 208Englewood, NJ 07631 · (201) 569-0200 · Fax (201) 569-8287
Phone(201) 569-0200
Fax(201) 569-8287
Organization SubpartYes
Authorized OfficialBruce Herman TischPresident · (201) 569-0200
Enumeration DateOctober 18, 2006
Last NPPES UpdateMarch 28, 2013
✔ NPI 1033290432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · MA31321
Definition
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.
177 NORTH DEAN STREET, Englewood, NJ 07631
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC-58231NJ
Medicaid4719301NJ
Medicare ID-Type UnspecifiedTI181971NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 31D0113202

Ob-Gyn Associates Of Englewood PA · Englewood, NJ
Active · expires Feb 23, 2028
CLIA Number31D0113202
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorVladimir Kilinsky
Laboratory Phone(201) 569-0200
Laboratory LocationOb-Gyn Associates Of Englewood PA177 North Dean Street Suite 208, Englewood, NJ 07631
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 31D0858394

Ob-Gyn Associates Of Englewood · Englewood, NJ
Active · expires Aug 31, 2028
CLIA Number31D0858394
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorBruce Tisch
Laboratory Phone(201) 569-3300
Laboratory LocationOb-Gyn Associates Of Englewood177 North Dean Street Suite 208, Englewood, NJ 07631
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACCESS MEDICAL CONSULTANTS
Internal Medicine
177 NORTH DEAN STREET, SUITE 203
ENGLEWOOD, NJ 07631
Bergen County (201) 503-0833
DR. JAY JOEL KELINSON M.D.
Obstetrics & Gynecology
177 NORTH DEAN STREET, #208
ENGLEWOOD, NJ 07631
Bergen County (201) 569-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obgyn Associates Of Englewood's NPI number?

The NPI number for Obgyn Associates Of Englewood is 1033290432. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Obgyn Associates Of Englewood located?

Obgyn Associates Of Englewood is located at 177 North Dean Street Suite 208, Englewood, NJ 07631. The listed phone number is (201) 569-0200.

What is Obgyn Associates Of Englewood's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Obgyn Associates Of Englewood hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Obgyn Associates Of Englewood was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.