NEW YORK FERTILITY MEDICAL PRACTICE, PLLC (NPI# 1023675220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023675220 |
| Entity Type | Organization |
| Organization Name | NEW YORK FERTILITY MEDICAL PRACTICE, PLLC |
| Other Organization Name | SHADY GROVE FERTILITY NEW YORK MEDICAL PROFESSIONALS, PLLC |
| Practice Address |
110 East 60th Street 5th Floor New York NY 10022-1688 |
| Mailing Address |
9600 Blackwell Road Suite 500 Rockville MD 20850-3783 |
| Practice Telephone | 8887611967 |
| Mailing Telephone | 3013401188 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3015451407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shady Grove Fertility New York Medical Professionals, PLLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NEW YORK FERTILITY MEDICAL PRACTICE, PLLC | Attention: General Cousel, 9600 Blackwell Road, Suite 500, Rockville, Maryland 20850 |
| Street Address |
110 EAST 60TH STREET 5TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-1688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160248 | Deborah Lurie | Nurse Practitioner | 110 East 60th Street, 5th Floor, New York, NY 10022 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598317091 | Kjd Fertility Pllc | Obstetrics & Gynecology | 115 E 57th St Ste 420&430, New York, NY 10022-2049 | 2019-07-15 |
| 1083166003 | New York Medical Sciences, P.C. | Obstetrics & Gynecology | 810 Seventh Avenue, Floor 21, New York, NY 10019 | 2016-10-25 |
| 1871854604 | Fatma A Aleem | Obstetrics & Gynecology | 120 East 81st Street, 9a, New York, NY 10028-1433 | 2012-06-07 |
| 1669739280 | Joshua D Stewart | Obstetrics & Gynecology | 1305 York Ave Fl 6, New York, NY 10021-5663 | 2012-04-20 |
| 1063703494 | Lauren Alicia Bishop | Obstetrics & Gynecology | 5 Columbus Cir Ph, New York, NY 10019-1412 | 2011-04-19 |
| 1386878130 | Bat-sheva Lerner Maslow | Obstetrics & Gynecology | 200 W 57th St Ste 1101, New York, NY 10019-3240 | 2009-05-08 |
| 1013153782 | David Bruce Sable | Obstetrics & Gynecology | 527 Madison Ave, New York, NY 10022-4304 | 2008-12-30 |
| 1477745503 | Tomer Singer | Obstetrics & Gynecology | 110 E 60th St Fl 5, New York, NY 10022-1688 | 2007-08-13 |
| 1114118239 | David E Reichman | Obstetrics & Gynecology | 40 Worth Street, 4th Floor, New York, NY 10013 | 2007-08-05 |
| 1003023912 | Midtown Reproductive Medicine,pc | Obstetrics & Gynecology | 161 Madison Ave Rm 4sw, New York, NY 10016-5459 | 2007-05-17 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.