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General NPI Number Information
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NPI Number | 1285544098
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Entity Type | Organization
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Legal Business Name | NJ PELVIC MEDICINE LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 224 TAYLORS MILLS RD STE 106
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City | MANALAPAN
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State | NJ
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Zip | 07726-3281
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Country | US
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Telephone | 732-210-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WOODS RD
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1127
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NINA JACOBSON
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Credential | MD
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Telephone | 917-855-4865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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