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FRED REZVANI GYN LLC
NPI 1396550463
Obstetrics & Gynecology in Ridgewood, NJ

Active since February 07, 2025
119 PROSPECT ST, 1ST FLOOR SUITE 1, RIDGEWOOD, NJ 07450(201) 444-1600 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Feb 7, 2025 (2 updates tracked since 2025).

About Fred Rezvani Gyn Llc NPPES

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

FRED REZVANI GYN LLC (NPI 1396550463) is a healthcare organization registered as an obstetrics & gynecology in Ridgewood, New Jersey and active in the NPI registry since February 2025. The organization lists Fred Rezvani, Owner, as its authorized official.

NPPES Registry Identity

NPI1396550463
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFRED REZVANI GYN LLC
Location Address119 PROSPECT ST, 1ST FLOOR SUITE 1Ridgewood, NJ 07450-4451
Mailing Address119 Prospect St, 1st Floor Suite 1Ridgewood, NJ 07450-4451 · (201) 444-1600
Phone(201) 444-1600
Organization SubpartNo
Authorized OfficialFred RezvaniOwner · (201) 444-1600
Enumeration DateFebruary 7, 2025
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1396550463 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.
119 PROSPECT ST, Ridgewood, NJ 07450
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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 8

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

HEALTHCARE 2000, LLC
Specialist
119 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 444-1600
ZIA GHAVAMI M.D.
Pediatrics
119 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 445-1212
FRED REZVANI
Specialist
119 PROSPECT ST, 1ST FLOOR SUITE 1
RIDGEWOOD, NJ 07450
Bergen County (201) 444-1600
PREMIER OBSTETRICS AND GYNECOLOGY OF RIDGEWOOD PC
Obstetrics & Gynecology
119 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 639-3900
BROOKE S MOSSADED DDS
Dentist
119 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 444-1600
COMPREHENSIVE PEDIATRIC CARE PC
Pediatrics
119 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 445-1212
ELINA ZELDINA M.D.
Obstetrics & Gynecology
119 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 639-3900
KATE LEVY
Nurse Practitioner (Women's Health)
119 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 639-3900

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 Fred Rezvani Gyn LLC's NPI number?

The NPI number for Fred Rezvani Gyn LLC is 1396550463. It was assigned to this organization in the NPPES registry on February 7, 2025.

Where is Fred Rezvani Gyn LLC located?

Fred Rezvani Gyn LLC is located at 119 Prospect St 1st Floor Suite 1, Ridgewood, NJ 07450. The listed phone number is (201) 444-1600.

What is Fred Rezvani Gyn LLC'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 Fred Rezvani Gyn LLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.