ENGLEWOOD PHYSICIAN'S GROUP LLC
NPI 1235363045
Obstetrics & Gynecology in Englewood, NJ

Active since May 07, 2009
40 ENGLE ST, ENGLEWOOD, NJ 07631(201) 567-0522(201) 567-5955 Get Directions Write a Review

NPPES record last updated: June 12, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Englewood Physician's Group Llc NPPES

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

ENGLEWOOD PHYSICIAN'S GROUP LLC (NPI 1235363045) is a healthcare organization registered as an obstetrics & gynecology in Englewood, New Jersey and active in the NPI registry since May 2009. The organization lists Isabelle Tarikyan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235363045
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameENGLEWOOD PHYSICIAN'S GROUP LLC
Location Address40 ENGLE STEnglewood, NJ 07631-2905
Mailing Address40 Engle StEnglewood, NJ 07631-2905 · (201) 567-0522 · Fax (201) 567-5955
Fax(201) 567-5955
Organization SubpartNo
Authorized OfficialIsabelle TarikyanCfo · (201) 567-0522
Enumeration DateMay 7, 2009
Last NPPES UpdateJune 12, 2009
✔ NPI 1235363045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
40 ENGLE ST, Englewood, NJ 07631

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Englewood Physician's Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Englewood Physician's Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Obstetrics/Gynecology
NPI 1023140100
40 ENGLE ST
Englewood, NJ 07631
(201) 568-0522
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1063599215
177 N DEAN ST SUITE 208
Englewood, NJ 07631
(201) 569-0200
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1427066257
177 N DEAN ST SUITE 208
Englewood, NJ 07631
(201) 569-0200
✔ PECOS0.6 mi
Obstetrics/Gynecology
NPI 1942218623
177 N DEAN ST 208
Englewood, NJ 07631
(201) 569-0200
✔ PECOS✔ Accepts Medicare0.6 mi
Obstetrics/Gynecology
NPI 1811953227
502 KINGS HWY N CHERRY HILL WOMEN'S CENTER
Cherry Hill, NJ 08034
(856) 667-5910
✔ PECOS✔ Accepts Medicare86 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Englewood Physician's Group LLC's NPI number?

The NPI number for Englewood Physician's Group LLC is 1235363045. It was assigned to this organization in the NPPES registry on May 7, 2009.

Where is Englewood Physician's Group LLC located?

Englewood Physician's Group LLC is located at 40 Engle St, Englewood, NJ 07631. The listed phone number is (201) 567-0522.

What is Englewood Physician's Group LLC's specialty?

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

Is Englewood Physician's Group LLC enrolled in Medicare?

Yes. Englewood Physician's Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Englewood Physician's Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Englewood Physician's Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Englewood Physician's Group LLC was last updated on June 12, 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.