WILLOWBROOK OBSTETRICS AND GYNECOLOGY LLC
NPI 1790820496
Obstetrics & Gynecology in Wayne, NJ

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since February 20, 2007

57 WILLOWBROOK BLVD, SUITE 301, WAYNE, NJ 07470(973) 754-4075(973) 256-6523 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Willowbrook Obstetrics And Gynecology Llc NPPES

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

WILLOWBROOK OBSTETRICS AND GYNECOLOGY LLC (NPI 1790820496) is a healthcare organization registered as an obstetrics & gynecology in Wayne, New Jersey and active in the NPI registry since February 2007. The organization lists Roger P Kierce, Manager, as its authorized official.

NPPES Registry Identity

NPI1790820496

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameWILLOWBROOK OBSTETRICS AND GYNECOLOGY LLC

Location Address57 WILLOWBROOK BLVD, SUITE 301Wayne, NJ 07470-7045

Mailing Address57 Willowbrook Blvd., Suite 301Wayne, NJ 07470 · (973) 754-4075 · Fax (973) 256-6523

Phone(973) 754-4075

Fax(973) 256-6523

Organization SubpartNo

Authorized OfficialRoger P KierceManager · (973) 754-4975

Enumeration DateFebruary 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1790820496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NJ · 25MA05001400

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.

57 WILLOWBROOK BLVD, Wayne, NJ 07470

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Other Identifiers 1

Medicaid5231507NH

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 31D1049368

Willowbrook Ob/Gyn LLC · Wayne, NJ

Expired · Jan 3, 2026

CLIA Number31D1049368

Laboratory TypePhysician Office

Certificate Effective DateJanuary 4, 2024

Certificate Expiration DateJanuary 3, 2026

Laboratory DirectorRoger P. Kierce

Laboratory Phone(973) 754-4075

Laboratory LocationWillowbrook Ob/Gyn LLC57 Willowbrook Blvd Suite 300, Wayne, NJ 07470

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

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

WILLOWBROOK PEDIATRICS