Healthcare Provider Details

I. General information

NPI: 1245016898
Provider Name (Legal Business Name): FEMININE URGICARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 N RTE 17
PARAMUS NJ
07652-3110
US

IV. Provider business mailing address

505 GOFFLE RD
RIDGEWOOD NJ
07450-4027
US

V. Phone/Fax

Practice location:
  • Phone: 201-597-4000
  • Fax:
Mailing address:
  • Phone: 201-597-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. KYLE KHOROZIAN
Title or Position: OWNER
Credential:
Phone: 201-597-4000