=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346152055
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PLANNED PARENTHOOD OF METROPOLITAN NEW JERSEY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2026
-----------------------------------------------------
Last Update Date | 09/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 90 DAYTON AVE
-----------------------------------------------------
City | PASSAIC
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07055-7035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-345-3883
-----------------------------------------------------
Fax | 973-622-0247
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 238 MULBERRY ST FL 1
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07102-3528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-622-3900
-----------------------------------------------------
Fax | 973-345-4250
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SR. VICE PRESIDENT OF OPERATIONS
-----------------------------------------------------
Name | SOPHIA LANA BRYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-622-3900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VC0300X
-----------------------------------------------------
Taxonomy Name | Complex Family Planning Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QA0005X
-----------------------------------------------------
Taxonomy Name | Ambulatory Family Planning Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------