CENTRAL PARK MEDICAL PRACTICE, PC
NPI 1972771855
Obstetrics & Gynecology in Bayonne, NJ
About Central Park Medical Practice, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL PARK MEDICAL PRACTICE, PC (NPI 1972771855) is a healthcare organization registered as an obstetrics & gynecology in Bayonne, New Jersey and active in the NPI registry since February 2008. The organization lists Shahnoz Rustamova, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Park Medical Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Park Medical Practice, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Central Park Medical Practice, PC's NPI number?
The NPI number for Central Park Medical Practice, PC is 1972771855. It was assigned to this organization in the NPPES registry on February 13, 2008.
Where is Central Park Medical Practice, PC located?
Central Park Medical Practice, PC is located at 280 Kennedy Blvd, Bayonne, NJ 07002. The listed phone number is (464) 391-3414.
What is Central Park Medical Practice, PC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Central Park Medical Practice, PC enrolled in Medicare?
Yes. Central Park Medical Practice, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Park Medical Practice, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Central Park Medical Practice, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Central Park Medical Practice, PC was last updated on September 4, 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.
# Central Park Medical Practice, Pc · NPI 1972771855
Obstetrics & Gynecology organization in Bayonne, New Jersey. Organization record, active in the CMS NPPES registry since February 13, 2008.
## Identity
- **NPI:** 1972771855 (Entity type: Organization)
- **Enumerated:** February 13, 2008
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Shahnoz Rustamova, PRESIDENT
## Practice location
- **Address:** 280 KENNEDY BLVD, Bayonne, NJ 07002-1234
- **Phone:** (464) 391-3414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1972771855) · Data from the CMS NPPES public registry.