Provider Demographics
NPI:1326086331
Name:PISCATAWAY SOMERSET OB GYN GROUP
Entity Type:Organization
Organization Name:PISCATAWAY SOMERSET OB GYN GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:N
Authorized Official - Last Name:CHOUBEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-214-8741
Mailing Address - Street 1:31 STELTON RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-2665
Mailing Address - Country:US
Mailing Address - Phone:732-752-7755
Mailing Address - Fax:
Practice Address - Street 1:31 STELTON RD
Practice Address - Street 2:SUITE 4
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-2665
Practice Address - Country:US
Practice Address - Phone:732-752-7755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ042627Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER