Provider Demographics
NPI:1558872382
Name:NJ PERINATOLOGY GROUP LLC
Entity Type:Organization
Organization Name:NJ PERINATOLOGY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFM
Authorized Official - Prefix:DR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALVAREZ-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-217-5600
Mailing Address - Street 1:4 BEAVERBROOK RD STE 156
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1796
Mailing Address - Country:US
Mailing Address - Phone:201-217-5600
Mailing Address - Fax:718-253-2333
Practice Address - Street 1:12-35 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1812
Practice Address - Country:US
Practice Address - Phone:718-253-8111
Practice Address - Fax:718-253-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty