Provider Demographics
NPI:1477282028
Name:CRESCENT CARE WOMEN'S HEALTH, PC
Entity Type:Organization
Organization Name:CRESCENT CARE WOMEN'S HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAGLAA
Authorized Official - Middle Name:T
Authorized Official - Last Name:RIZK
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACOG MHA
Authorized Official - Phone:646-926-7495
Mailing Address - Street 1:83 MORNING WATCH RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-8455
Mailing Address - Country:US
Mailing Address - Phone:732-703-2565
Mailing Address - Fax:
Practice Address - Street 1:975 CLIFTON AVE STE 202
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2722
Practice Address - Country:US
Practice Address - Phone:732-703-2565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty