Provider Demographics
NPI:1912045287
Name:WOMEN'S CARE NJ PA
Entity Type:Organization
Organization Name:WOMEN'S CARE NJ PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-751-5454
Mailing Address - Street 1:36 NEWARK AVE STE 128
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-4120
Mailing Address - Country:US
Mailing Address - Phone:973-751-5454
Mailing Address - Fax:973-751-1717
Practice Address - Street 1:36 NEWARK AVE STE 128
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-4120
Practice Address - Country:US
Practice Address - Phone:973-751-5454
Practice Address - Fax:973-751-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA50650207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherBLUE CROSS BLUE SHIELD
NJ=========OtherBLUE CROSS BLUE SHIELD