Cny Advanced Gynecology PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

154104 Issued in NY

Legal business name

CNY ADVANCED GYNECOLOGY PC

Practice address

86 Genesee St
New Hartford, NY 13413-2389

Phone

(315) 733-3330

Fax

(315) 823-1295

NPI assigned

Nov 29, 2010

Last updated

Jun 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prabhat Kumar Ahluwalia, M.D.NPI 1497744635

Title

Director

Phone

(315) 823-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Prabhat Ahluwalia, MD

  • Obstetrics & Gynecology Physician
  • Little Falls, NY
  • NPI 1497744635
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1023310968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651023",
            "telephone_number": "315-823-1111",
            "fax_number": "315-823-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132389",
            "telephone_number": "315-733-3330",
            "fax_number": "315-823-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY ADVANCED GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "AHLUWALIA",
        "authorized_official_first_name": "PRABHAT",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-823-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "154104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Cimo, M.D.
• Circelli LCSW Support Services, PLLC
• Jill Renee Circelli, LCSW
• David C Clark, MD
• Linda V.W. Clark
• Cny Family Nurse Practitioner - Home and Office Services PC
• Cny Hormone Center
• Robert Russel Coffin, M.D.
• Cole Vision Corporation (Sears Optical #C0297)
• Joseph Colosi, FP

• Obstetrics & Gynecology Physician in New Hartford, NY
• Providers in New Hartford, 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 Jun 30, 2011; 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.