Active NPIOrganization

Bona Dea Gynecology, LLC.

Obstetrics & Gynecology, Gynecology in Oradell, New Jersey

NPI Number1316251119
Practice location
481 Kinderkamack RD, Oradell, NJ 07649-1519
Fax
551-236-1771
Last updated
September 8, 2022

Bona Dea Gynecology, LLC. is a healthcare organization based in Oradell, NJ. Bona Dea Gynecology, LLC. practices in Oradell, NJ. The NPI Number for Bona Dea Gynecology, LLC. is 1316251119 and holds a License No. 25MB08210000 (NJ). The current practice location address for Bona Dea Gynecology, LLC. is 481 Kinderkamack RD, Oradell, NJ 07649-1519 and can be reached out via phone at 551-278-5898 and via fax at 551-236-1771.

Provider Profile Details

NPI Number
1316251119
Provider Name
Bona Dea Gynecology, LLC.
Provider Entity Type
Organization
Address
481 Kinderkamack RD, Oradell, NJ 07649-1519
Phone Number
551-278-5898
Fax Number
551-236-1771
Primary Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X
Organization Subpart
No
Authorized Official
Tracy B Verrico, DO · Physician/Owner · 551-278-5898
Provider Enumeration Date
August 4, 2010
Last Update Date
September 8, 2022
Certification Date
September 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
481 Kinderkamack RD
Oradell, NJ 07649-1519
Zip
07649-1519
Phone Number
551-278-5898
Fax Number
551-236-1771
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
481 Kinderkamack RD
Oradell, NJ 07649-1519
City
Oradell
State
NJ
Zip
07649-1519
Phone Number
551-278-5898
Fax Number
551-236-1771

License Information

License Number
25MB08210000
License State
NJ
Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bona Dea Gynecology, LLC.?

The NPI number of Bona Dea Gynecology, LLC. is 1316251119. It was assigned on August 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Bona Dea Gynecology, LLC.?

Bona Dea Gynecology, LLC. is registered under the primary taxonomy Obstetrics & Gynecology, Gynecology (code 207VG0400X), licensed in NJ under license number 25MB08210000.

Where does Bona Dea Gynecology, LLC. practice?

The practice location is 481 Kinderkamack RD, Oradell, NJ 07649-1519. The office can be reached at 551-278-5898 (phone) or 551-236-1771 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316251119 directly on the NPPES registry website.

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