Provider Demographics
NPI:1730478314
Name:ANTHEIAOBGYN, LLC
Entity Type:Organization
Organization Name:ANTHEIAOBGYN, LLC
Other - Org Name:ANTHEIA GYNECOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMIGIANNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-448-7800
Mailing Address - Street 1:375 ROUTE 130
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2700
Mailing Address - Country:US
Mailing Address - Phone:609-448-7800
Mailing Address - Fax:609-448-7880
Practice Address - Street 1:375 ROUTE 130
Practice Address - Street 2:SUITE 103
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2700
Practice Address - Country:US
Practice Address - Phone:609-448-7800
Practice Address - Fax:609-448-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07688900207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI58419Medicare UPIN