Healthcare Provider Details

I. General information

NPI: 1598940439
Provider Name (Legal Business Name): THE WOMEN'S GROUP OF RIDGEWOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W RIDGEWOOD AVE SUITE 205
PARAMUS NJ
07652-2359
US

IV. Provider business mailing address

1 W RIDGEWOOD AVE SUITE 205
PARAMUS NJ
07652-2359
US

V. Phone/Fax

Practice location:
  • Phone: 201-251-2323
  • Fax: 201-251-2325
Mailing address:
  • Phone: 201-251-2323
  • Fax: 201-251-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA062434
License Number StateNJ

VIII. Authorized Official

Name: DR. MONICA LYNN MEYER
Title or Position: DIRECTOR
Credential: M.D.
Phone: 201-251-2323