BROOME OBSTETRICS AND GYNECOLOGY, P.C. (NPI# 1487722518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487722518 |
| Entity Type | Organization |
| Organization Name | BROOME OBSTETRICS AND GYNECOLOGY, P.C. |
| Practice Address |
161 Riverside Dr Suite 109 Binghamton NY 13905-4176 |
| Practice Telephone | 6077707074 |
| Practice Fax Number | 6077703452 |
| Mailing Telephone | 6077707074 |
| Mailing Fax Number | 6077703452 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-09-09 |
| Authorized Official Name | MARYBETH VANDERPOEL (OFFICE MANAGER) |
| Authorized Official Telephone | 6077707074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
161 RIVERSIDE DR SUITE 109 |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468130 | Michael J Fidler | Dentist | 161 Riverside Dr, Ste 201, Binghamton, NY 13905-4178 | 2005-06-28 |
| 1487103024 | Jaime Lynn Fernandez | Nurse Practitioner | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-09-23 |
| 1801249669 | Mary Ann Wilson | Audiologist | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-07-18 |
| 1881048643 | Kristen Bishop | Nurse Practitioner | 161 Riverside Dr, Suite #302, Binghamton, NY 13905-4176 | 2016-04-19 |
| 1508249459 | Raza Ashraf | Family Medicine | 161 Riverside Dr, Binghamton, NY 13905 | 2015-07-09 |
| 1497183438 | Tina Marie Slocum | Advanced Practice Midwife | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2013-10-30 |
| 1659719409 | Nina C Gaube | Nurse Practitioner | 161 Riverside Dr, Suite 210, Binghamton, NY 13905-4176 | 2013-06-13 |
| 1013254036 | Binghamton Plastic Surgery, Pllc | Specialist | 161 Riverside Dr, Suite 106, Binghamton, NY 13905-4176 | 2013-01-10 |
| 1922391754 | Michelle Ann Drilon | Pediatrics | 161 Riverside Dr, Suite 206, Binghamton, NY 13905-4176 | 2011-05-26 |
| 1992095483 | Kelly Eileen Teagle | Internal Medicine | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2011-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1760476329 | Jonathan Ruan | Obstetrics & Gynecology | 112 Murray St, Binghamton, NY 13905-3707 | 2005-09-09 |
| 1982159695 | Samantha Morrison | Obstetrics & Gynecology | 161 Riverside Dr Ste 109, Binghamton, NY 13905-4178 | 2016-08-23 |
| 1477722015 | Jonathan Ruan, Md PC | Obstetrics & Gynecology | 112 Murray St, Binghamton, NY 13905-3707 | 2008-02-28 |
| 1700055357 | Donald Werner Md PC | Obstetrics & Gynecology | 112 Murray St, Binghamton, NY 13905-3707 | 2008-02-28 |
| 1447327556 | Laura J Bishop | Obstetrics & Gynecology | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2006-11-30 |
| 1932276177 | Michael A Shaw | Obstetrics & Gynecology | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2006-11-30 |
| 1629145768 | Gary J Nicholson | Obstetrics & Gynecology | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2006-11-30 |
| 1780751909 | Michael A Farrell | Obstetrics & Gynecology | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2006-11-30 |
| 1053408740 | Achala Hasmukh Amin | Obstetrics & Gynecology | 42 Riverside Dr, Binghamton, NY 13905-4511 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
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| City | BINGHAMTON |
| Zip Code | 13905 |
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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.