NPIMap

Organization Active NPI

North Village OB/GYN PC

  • Legal Medicine
  • Franklin Square, NY
National Provider Identifier
1053509992
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
156347 Issued in NY
Legal business name
NORTH VILLAGE OB/GYN PC
Practice address
925 Hempstead Tpke
2ND Floor
Franklin Square, NY 11010-3641
Phone
(516) 354-7100
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Dr. David J WolfsonNPI 1871590273
Title
President
Phone
(516) 354-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X 156347 NY Primary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X 197740 NY

Addresses

Primary practice location

925 Hempstead Tpke
2ND Floor
Franklin Square, NY 11010-3641

Mailing address

925 Hempstead Tpke
2ND Floor
Franklin Square, NY 11010-3641
Phone (516) 354-7100

National Provider Directory

National Provider Directory

Locations

43 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 766-5661

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1053509992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE",
            "address_2": "2ND FLOOR",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103641",
            "telephone_number": "516-354-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE",
            "address_2": "2ND FLOOR",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103641",
            "telephone_number": "516-354-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VILLAGE OB/GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-354-7100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "156347",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "197740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.