Active NPIOrganization

Fred Rezvani GYN LLC

Obstetrics & Gynecology in Ridgewood, New Jersey

NPI Number1396550463
Practice location
119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4451
Fax
—
Last updated
May 6, 2025

Fred Rezvani GYN LLC is a healthcare organization based in Ridgewood, NJ. Fred Rezvani GYN LLC practices in Ridgewood, NJ. The NPI Number for Fred Rezvani GYN LLC is 1396550463. The current practice location address for Fred Rezvani GYN LLC is 119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4451 and can be reached out via phone at 201-444-1600.

Provider Profile Details

NPI Number
1396550463
Provider Name
Fred Rezvani GYN LLC
Provider Entity Type
Organization
Address
119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4451
Phone Number
201-444-1600
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Organization Subpart
No
Authorized Official
Fred Rezvani · Owner · 201-444-1600
Provider Enumeration Date
February 7, 2025
Last Update Date
May 6, 2025
Certification Date
May 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Prospect St
1ST Floor Suite 1
Ridgewood, NJ 07450-4451
Zip
07450-4451
Phone Number
201-444-1600
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
119 Prospect St
1ST Floor Suite 1
Ridgewood, NJ 07450-4451
City
Ridgewood
State
NJ
Zip
07450-4451
Phone Number
201-444-1600

License Information

Taxonomy
Obstetrics & Gynecology · 207V00000X · 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 Fred Rezvani GYN LLC?

The NPI number of Fred Rezvani GYN LLC is 1396550463. It was assigned on February 7, 2025 and is currently active in the NPPES registry.

What is the specialty of Fred Rezvani GYN LLC?

Fred Rezvani GYN LLC is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X).

Where does Fred Rezvani GYN LLC practice?

The practice location is 119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4451. The office can be reached at 201-444-1600 (phone).

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 1396550463 directly on the NPPES registry website.

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