Healthcare Provider Details

I. General information

NPI: 1598259517
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF NORTHERN, CENTRAL, AND SOUTHERN NEW JERSEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 11/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STOCKTON COLLEGE WEST QUAD BUILDING, SUITE 108
POMONA NJ
08240
US

IV. Provider business mailing address

196 SPEEDWELL AVE
MORRISTOWN NJ
07960-2934
US

V. Phone/Fax

Practice location:
  • Phone: 609-652-4701
  • Fax: 609-626-5586
Mailing address:
  • Phone: 973-539-9580
  • Fax: 973-695-4535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: SANDY STILES
Title or Position: SPECIAL PROJECTS LIAISON
Credential:
Phone: 973-539-9580