COMMUNITY OB GYN ASSOCIATES (NPI# 1801938279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801938279 |
Entity Type | Organization |
Organization Name | COMMUNITY OB GYN ASSOCIATES |
Practice Address |
15 Maple Ave Warwick NY 10990-1028 |
Mailing Address |
Po Box 469 Warwick NY 10990-0469 |
Practice Telephone | 8459861523 |
Practice Fax Number | 8459861488 |
Mailing Telephone | 8459865123 |
Mailing Fax Number | 8459861488 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JAMES S SHANAHAN (CHEIF) |
Authorized Official Telephone | 8459865123 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | MVP HEALTH PLANS | 69941 | 01 |
NY | HEALTHNET | C30733 | 01 |
NY | AETNA HEALTH PLANS HMO | 903803 | 01 |
NY | 01814699 | 05 | |
NY | GHI PPO | 0202210 | 01 |
NY | WELLCARE | 10856 | 01 |
Street Address |
15 MAPLE AVE |
City | WARWICK |
State | NY |
Zip Code | 10990-1028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598755324 | St. Anthony Community Hospital | General Acute Care Hospital | 15 Maple Ave, Warwick, NY 10990-1028 | 2005-10-24 |
1609310887 | Kathryn Ryans | Physical Therapist | 15 Maple Ave, Warwick, NY 10990-1028 | 2016-12-07 |
1982064804 | Colleen Miller | Occupational Therapist | 15 Maple Ave, Warwick, NY 10990-1028 | 2016-03-04 |
1922483833 | Sylvia Roome | Physical Therapist | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-07-22 |
1558746453 | Heather Knudsen | Speech-Language Pathologist | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-07-21 |
1386027647 | Amy Fotino | Registered Nurse | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-07-06 |
1558751883 | Yuwei Xu | Registered Nurse | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-01-26 |
1689085250 | Warwick Anesthesia Group LLC | Anesthesiology | 15 Maple Ave, Warwick, NY 10990-1028 | 2014-05-16 |
1174892509 | Wei Nie | Nurse Anesthetist, Certified Registered | 15 Maple Ave, Warwick, NY 10990-1028 | 2011-12-13 |
1831477694 | Gurpreet Singh | Internal Medicine | 15 Maple Ave, Warwick, NY 10990-1028 | 2011-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
1881163921 | Warwick Reformed Church | Home Delivered Meals | 16 Maple Avenue, Warwick, NY 10990 | 2018-11-19 |
1821522400 | Lauren Weller | Behavior Technician | 103 Little York Road, Warwick, NY 10990 | 2017-04-20 |
1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
1417383282 | Lawrence M Kamhi Md PC | Anesthesiology | 121 Village Green Court, Warwick, NY 10990 | 2013-09-24 |
1427491398 | Dynamic Therapy Inc | Early Intervention Provider Agency | 47 Homestead Village Drive, Warwick, NY 10990 | 2013-04-10 |
1033498381 | Needelia Davis | Registered Nurse | 15 Blue Spruce Trl, Warwick, NY 10990 | 2011-08-04 |
1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
1891027900 | Delna M Joseph | Licensed Practical Nurse | 20 Grand Street, Warwick, NY 10990 | 2010-02-01 |
1366689200 | Premiere Physical Therapy, PC | Physical Therapist | 56 Onderdonk Rd, Warick, NY 10990 | 2009-01-14 |
Find all providers in zip 10990 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962040642 | Miriam Tabak | Obstetrics & Gynecology | 1327 46th St Apt 3d, Brooklyn, NY 11219-2163 | 2019-12-13 |
1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
1295197978 | Esther Hirschhorn | Obstetrics & Gynecology | 410 Lakeville Rd Ste 305, New Hyde Park, NY 11042-1123 | 2016-03-22 |
1942687629 | Sara M Slatky | Obstetrics & Gynecology | 568 Broadway Ste 304&404, New York, NY 10012-3225 | 2015-05-01 |
1467792267 | Pearl Medical, PC | Obstetrics & Gynecology | 3078 38th St Apt 1c, Astoria, NY 11103-3805 | 2013-02-15 |
1841536679 | Associates In Obstetrics & Gynecology, PC | Obstetrics & Gynecology | 62 Barton Rd, Plattsburgh, NY 12901-7106 | 2012-12-26 |
1154687663 | Poroshat Shekarloo | Obstetrics & Gynecology | 56 Battery Ave, Brooklyn, NY 11228-3511 | 2012-04-09 |
1710279294 | Universal Medical of Nyc PC | Obstetrics & Gynecology | 5321 Flatlands Avenue, Brooklyn, NY 11234 | 2011-05-03 |
1740413178 | Louis Thomas Cardi | Obstetrics & Gynecology | 33 Erland Rd, Stony Brook, NY 11790-1124 | 2009-09-02 |
1184860967 | Sarita Khatri | Obstetrics & Gynecology | 7822 166th St, Fresh Meadows, NY 11366-1235 | 2008-12-27 |
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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.