NPIMap

Organization Active NPI

Michael D Vardy Gynecology and Urogynecology, LLC

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1033365259
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
1928071 Issued in NY
Legal business name
MICHAEL D VARDY GYNECOLOGY AND UROGYNECOLOGY, LLC
Practice address
1107 5TH Ave
Ste 1E
New York, NY 10128-0145
Phone
(646) 345-5249
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Michael D Vardy, MD
Title
President
Phone
(646) 345-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 1928071 NY Primary

Addresses

Primary practice location

1107 5TH Ave
Ste 1E
New York, NY 10128-0145

Mailing address

7 Park St
Apt 8P
Tenafly, NJ 07670-2217
Phone (646) 345-5249

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1033365259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARK ST",
            "address_2": "APT 8P",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702217",
            "telephone_number": "646-345-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 5TH AVE",
            "address_2": "STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280145",
            "telephone_number": "646-345-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D VARDY GYNECOLOGY AND UROGYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "VARDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-345-5249",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "1928071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.