Nerissa Guballa MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

220682 Issued in NY

Legal business name

NERISSA GUBALLA MD PC

Practice address

408 E 76TH St
New York, NY 10021

Phone

(212) 249-0900

Fax

(212) 249-5277

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nerissa Sylvia Guballa, MDNPI 1194906529

Title

President

Phone

(212) 249-0900

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nerissa S. Guballa, M.D.

  • Specialist
  • New York, NY
  • NPI 1194906529
  NPD (past) Authorized official
• Ilana L Brownstein, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1790852192
  NPD (past)
• Sona Irene Degann, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1093876963
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003984162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-249-0900",
            "fax_number": "212-249-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-249-0900",
            "fax_number": "212-249-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERISSA GUBALLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUBALLA",
        "authorized_official_first_name": "NERISSA",
        "authorized_official_middle_name": "SYLVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-249-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "220682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E Nereo, PHD
• Nicole Neretin, MD
• Asuncion Neri-Candelaria, LCSW
• Claudia R Neri-Rolon, PT
• Rebecca E Neril, MD
• Lamar K Nero
• Christina Nerone
• Laura Ann Nerone
• Edward Nersessian, MD
• Pallavi Nerurkar, PT

• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.