OB GYN PA
NPI 1336212802
Obstetrics & Gynecology in Hackensack, NJ

Active since November 15, 2006
20 PROSPECT AVENUE, SUITE 607, HACKENSACK, NJ 07601(201) 487-3464(201) 487-0232 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ob Gyn Pa NPPES

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

OB GYN PA (NPI 1336212802) is a healthcare organization registered as an obstetrics & gynecology in Hackensack, New Jersey and active in the NPI registry since November 2006. The organization lists Cynthia E Chettum, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336212802
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOB GYN PA
Location Address20 PROSPECT AVENUE, SUITE 607Hackensack, NJ 07601
Mailing Address20 Prospect Avenue, Suite 607Hackensack, NJ 07601 · (201) 487-3464 · Fax (201) 487-0232
Fax(201) 487-0232
Organization SubpartNo
Authorized OfficialCynthia E ChettumOffice Manager · (201) 487-3464
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 17, 2008
NPI 1336212802 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.
20 PROSPECT AVENUE, Hackensack, NJ 07601

Other Identifiers 4

OtherCF1821NJ · Rr Mdcr Group #
Other0511943NJ · Aetna Hmo Group #
Medicare PIN526395NJ
Other8750176NJ · Aetna Ppo Group #

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

Other Providers at the Same Location NPPES 4

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

Surgery (Plastic and Reconstructive Surgery)
20 PROSPECT AVENUE, SUITE 903
HACKENSACK, NJ 07601
Specialist
20 PROSPECT AVENUE, SUITE 717
HACKENSACK, NJ 07601
Internal Medicine
20 PROSPECT AVENUE
HACKENSCK, NJ 07601
Otolaryngology
20 PROSPECT AVENUE, SUITE 712
HACKENSACK, NJ 07601

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 Ob Gyn PA's NPI number?

The NPI number for Ob Gyn PA is 1336212802. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Ob Gyn PA located?

Ob Gyn PA is located at 20 Prospect Avenue Suite 607, Hackensack, NJ 07601. The listed phone number is (201) 487-3464.

What is Ob Gyn PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Ob Gyn PA was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.