Provider Demographics
NPI:1700894417
Name:OB-GYN ASSOCIATES OF ENGLEWOOD,PA
Entity Type:Organization
Organization Name:OB-GYN ASSOCIATES OF ENGLEWOOD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KILINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-569-0200
Mailing Address - Street 1:177 N DEAN ST
Mailing Address - Street 2:208
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2533
Mailing Address - Country:US
Mailing Address - Phone:201-569-0200
Mailing Address - Fax:201-569-8287
Practice Address - Street 1:177 N DEAN ST
Practice Address - Street 2:208
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2533
Practice Address - Country:US
Practice Address - Phone:201-569-0200
Practice Address - Fax:201-569-8287
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OBGYN ASSOCIATES OF ENGLEWOOD, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-04
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA047762207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0154601Medicaid
NJ068436Medicare PIN
NJC58216Medicare UPIN