Active NPI
St Vincents Catholic Medical Center OB-GYN Dept
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1053454702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ST VINCENTS CATHOLIC MEDICAL CENTER OB-GYN DEPT
- Practice address
- 170 W 12TH St
New York, NY 10011-8202 - Phone
- (212) 356-4458
- Fax
- (212) 356-4608
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Ren
- Title
- Director
- Phone
- (212) 356-4458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NY | Primary |
Addresses
Primary practice location
170 W 12TH St
New York, NY 10011-8202
Mailing address
450 W 33Rd St
12TH FL PBS Dept
New York, NY 10001-2603
Phone (212) 356-4458
Other names 1
- SVCMC OB-GYN Dept
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225065600000",
"number": "1053454702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W 33RD ST",
"address_2": "12TH FL PBS DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012603",
"telephone_number": "212-356-4458",
"fax_number": "212-356-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W 12TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118202",
"telephone_number": "212-356-4458",
"fax_number": "212-356-4608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST VINCENTS CATHOLIC MEDICAL CENTER OB-GYN DEPT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2008-10-27",
"status": "A",
"authorized_official_last_name": "REN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-356-4458",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SVCMC OB-GYN Dept",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
- St Vincent Catholic Medical Centers
- St Vincent Psychiatric Associates
- St Vincent'S Hospital
- St Vincent'S Urology
- St Vincents Catholic Medical Center
- St Vincents Hospital and Medical Center
- St Vincents Pediatric Dept
- St Vincents Psychiatric Associates
- St Vincents Trauma and Wellness Center
- St. Anne'S Medical Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.