MEDICARE: PLANNED PARENTHOOD OF METROPOLITAN NEW JERSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0005X	Ambulatory Family Planning Facility	22623	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639142938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF METROPOLITAN NEW JERSEY

Provider Business Mailing Address
First Line	:	151 WASHINGTON ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07102-3026
Country	:	US
Telephone Number	:	973-622-3900
Fax Number	:	973-622-1698

Provider Business Practice Location Address
First Line	:	750 HAMBURG TPKE
Second Line	:
City	:	POMPTON LAKES
State	:	NJ
Zip	:	07442-1452
Country	:	US
Telephone Number	:	973-839-2363
Fax Number	:	973-839-5924

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. DELORES TYSON
Credential	:	MA
Telephone Number	:	973-622-3900

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	08/22/2020

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Directions to “PLANNED PARENTHOOD OF METROPOLITAN NEW JERSEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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