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WOMENS HEALTHCARE PAVILLION PA
NPI 1063649168
Point of Service in Old Bridge, NJ

Active since June 16, 2009CLIA 31D1100965 · Waiver
200 PERRINE RD, SUITE 204, OLD BRIDGE, NJ 08857(732) 707-3545(732) 707-3546 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Womens Healthcare Pavillion Pa NPPES

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

WOMENS HEALTHCARE PAVILLION PA (NPI 1063649168) is a healthcare organization registered as a point of service in Old Bridge, New Jersey and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Ant K Nischal, Manager, as its authorized official.

NPPES Registry Identity

NPI1063649168
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameWOMENS HEALTHCARE PAVILLION PA
Location Address200 PERRINE RD, SUITE 204Old Bridge, NJ 08857-2842
Mailing Address200 Perrine Rd, Suite 204Old Bridge, NJ 08857-2842 · (732) 707-3545 · Fax (732) 707-3546
Phone(732) 707-3545
Fax(732) 707-3546
Organization SubpartNo
Authorized OfficialAnt K NischalManager · (732) 707-3545
Enumeration DateJune 16, 2009
✔ NPI 1063649168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in NJ · 25MP00118500
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
200 PERRINE RD, Old Bridge, NJ 08857
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Other Identifiers 1

Medicare UPINS87690NY

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 31D1100965

Womens Healthcare Pavilion · Old Bridge, NJ
Active · expires Jun 16, 2027
CLIA Number31D1100965
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorToni Otway
Laboratory Phone(732) 707-3545
Laboratory LocationWomens Healthcare Pavilion200 Perrine Road Suite 230, Old Bridge, NJ 08857
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. SANJEEV NAYYAR MD
Internal Medicine (Gastroenterology)
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600
MEENAKSHI B. PARIKH M. D.
Pediatrics
200 PERRINE RD, SUITE # 223
OLD BRIDGE, NJ 08857
Middlesex County (732) 727-1818
REHABILITATION AND ELECTRODIAGNOSTICS INC
Specialist
200 PERRINE RD, SUITE 211
OLD BRIDGE, NJ 08857
Middlesex County (732) 553-1000
KAJAL GANDHI NURSE PRACTITIONER
Nurse Practitioner (Family)
200 PERRINE RD
OLD BRIDGE, NJ 08857
Middlesex County (732) 264-1163
DR. MARITZA GEORGETTE PARRENO M.D.
Internal Medicine
200 PERRINE RD, SUITE 220
OLD BRIDGE, NJ 08857
Middlesex County (732) 721-1600
GARDEN STATE GASTROENTEROLOGY,PC
Internal Medicine (Gastroenterology)
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600
SEEMA NAYYAR DO, INC
Anesthesiology
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600
SANTHOSH K. CHEELA
Internal Medicine (Gastroenterology)
200 PERRINE RD, SUITE 208
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0200

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 Womens Healthcare Pavillion PA's NPI number?

The NPI number for Womens Healthcare Pavillion PA is 1063649168. It was assigned to this organization in the NPPES registry on June 16, 2009.

Where is Womens Healthcare Pavillion PA located?

Womens Healthcare Pavillion PA is located at 200 Perrine Rd Suite 204, Old Bridge, NJ 08857. The listed phone number is (732) 707-3545.

What is Womens Healthcare Pavillion PA's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Womens Healthcare Pavillion PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1100965) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Womens Healthcare Pavillion PA was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.