Organization Active NPI

New Start Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Goodyear, AZ
National Provider Identifier
1003114125
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NEW START WOMENS CARE PLC
Practice address
700 N Estrella Pkwy
Ste 125
Goodyear, AZ 85338-9271
Phone
(623) 536-2413
Fax
(623) 536-2909
NPI assigned
Mar 14, 2011
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brunilda A Rosario, DONPI 1366497505
Title
Member/Owner
Phone
(623) 536-2413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

700 N Estrella Pkwy
Ste 125
Goodyear, AZ 85338-9271

Mailing address

11435 W Buckeye Rd
Ste 104-450
Avondale, AZ 85323-6812
Phone (623) 536-2413

Other identifiers 1

IdentifierTypeStateIssuer
607615MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110818000164 AZ Part B Supplier - Clinic/Group Practice 0143499616 Receives reassigned benefits from 1 practitioner
Practice locations: Goodyear, AZ

National Provider Directory

National Provider Directory

Locations

11435 W Buckeye Rd
Ste 104450
Avondale, AZ 85323

700 N Estrella Pkwy
Ste 125
Goodyear, AZ 85338
Phone (623) 536-2413

13645 W Indian School Rd
Ste B
Litchfield Park, AZ 85340
Phone (623) 536-2413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1003114125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11435 W BUCKEYE RD",
            "address_2": "STE 104-450",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236812",
            "telephone_number": "623-536-2413",
            "fax_number": "623-536-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N ESTRELLA PKWY",
            "address_2": "STE 125",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389271",
            "telephone_number": "623-536-2413",
            "fax_number": "623-536-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START WOMENS CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "BRUNILDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "623-536-2413",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607615",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.