WOMEN'S PELVIC SURGERY OF NORTH JERSEY, LLC
NPI 1417243197
Clinic/Center - Medical Specialty in Paramus, NJ
About Women's Pelvic Surgery Of North Jersey, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOMEN'S PELVIC SURGERY OF NORTH JERSEY, LLC (NPI 1417243197) is a healthcare organization registered as a medical specialty in Paramus, New Jersey and active in the NPI registry since June 2011. The organization lists Khashayar Shakiba, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Women's Pelvic Surgery Of North Jersey, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Women's Pelvic Surgery Of North Jersey, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Women's Pelvic Surgery Of North Jersey, LLC's NPI number?
The NPI number for Women's Pelvic Surgery Of North Jersey, LLC is 1417243197. It was assigned to this organization in the NPPES registry on June 22, 2011.
Where is Women's Pelvic Surgery Of North Jersey, LLC located?
Women's Pelvic Surgery Of North Jersey, LLC is located at 1 Kalisa Way Ste 103, Paramus, NJ 07652. The listed phone number is (201) 301-2772.
What is Women's Pelvic Surgery Of North Jersey, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Women's Pelvic Surgery Of North Jersey, LLC enrolled in Medicare?
Yes. Women's Pelvic Surgery Of North Jersey, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Women's Pelvic Surgery Of North Jersey, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Women's Pelvic Surgery Of North Jersey, 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, 2 practice 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 Women's Pelvic Surgery Of North Jersey, LLC was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Women's Pelvic Surgery Of North Jersey, Llc · NPI 1417243197
Medical Specialty organization in Paramus, New Jersey. Organization record, active in the CMS NPPES registry since June 22, 2011.
## Identity
- **NPI:** 1417243197 (Entity type: Organization)
- **Enumerated:** June 22, 2011
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Khashayar Shakiba, DIRECTOR
## Practice location
- **Address:** 1 KALISA WAY STE 103, Paramus, NJ 07652-3508
- **Phone:** (201) 301-2772 · **Fax:** (201) 882-8422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Obstetrics/Gynecology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1417243197) · Data from the CMS NPPES public registry.