Provider Demographics
NPI:1720227887
Name:ESSENTIAL WOMEN'S HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ESSENTIAL WOMEN'S HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBSTETRICIAN AND GYNECOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NAMRATA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-662-5499
Mailing Address - Street 1:18 WHITEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3202
Mailing Address - Country:US
Mailing Address - Phone:732-662-9379
Mailing Address - Fax:908-757-1538
Practice Address - Street 1:1550 PARK AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5565
Practice Address - Country:US
Practice Address - Phone:732-662-5499
Practice Address - Fax:908-757-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA70062207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8749604Medicaid
NJ8749604Medicaid
NJH02071Medicare UPIN