NPIMap

Organization Active NPI

Myrtle Street Obstetrics & Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Saratoga Springs, NY
National Provider Identifier
1033118708
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
141515238 Issued in NY
Legal business name
MYRTLE STREET OBSTETRICS & GYNECOLOGY, PC
Practice address
59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044
Phone
(518) 587-2400
Fax
(518) 581-0141
NPI assigned
Jul 15, 2005
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Louise West
Title
Practice Administrator
Phone
(518) 691-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 141515238 NY Primary

Addresses

Primary practice location

59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044

Mailing address

59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044
Phone (518) 587-2400

Other identifiers 1

IdentifierTypeStateIssuer
01877009MedicaidNY

Other names 1

  • STREIT, LASKY, KNOELLER & DEXTER, MD'S, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

59 Myrtle St
Ste 100
Saratoga Springs, NY 12866
Phone (518) 587-2400

Practitioners & affiliated clinicians

Practitioners 6

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1033118708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MYRTLE ST",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661044",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MYRTLE ST",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661044",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE STREET OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "518-691-0050"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "141515238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01877009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STREIT, LASKY, KNOELLER & DEXTER, MD'S, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.