MEDICARE: PLANNED PARENTHOOD OF METROPOLITAN NJ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0005X	Ambulatory Family Planning Facility	22303	NJ

General Provider Information

NPI Number	:	1386617686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF METROPOLITAN NJ

Provider Business Mailing Address
First Line	:	238 MULBERRY STREET
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07102
Country	:	US
Telephone Number	:	973-622-3900
Fax Number	:	973-622-1698

Provider Business Practice Location Address
First Line	:	29 N FULLERTON AVE
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-3412
Country	:	US
Telephone Number	:	973-746-7116
Fax Number	:	973-746-8899

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MRS. ROSLYN ROGERS-COLLINS
Credential	:	MS
Telephone Number	:	973-622-3900

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	12/14/2016

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Directions to “PLANNED PARENTHOOD OF METROPOLITAN NJ ” Practice Location

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