Organization Active NPI

Mesdame OB/GYN PC

  • Obstetrics & Gynecology Physician
  • Yonkers, NY
National Provider Identifier
1063697704
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
242494 Issued in NY
Legal business name
MESDAME OB/GYN PC
Practice address
45 Ludlow St
Suite 506
Yonkers, NY 10705-1947
Phone
(914) 423-0025
Fax
(914) 423-0334
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Laure M Lauriston
Title
Physician
Phone
(914) 423-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 242494 NY Primary

Addresses

Primary practice location

45 Ludlow St
Suite 506
Yonkers, NY 10705-1947

Mailing address

45 Ludlow St
Suite 506
Yonkers, NY 10705-1947

Other identifiers 1

IdentifierTypeStateIssuer
02889930MedicaidNY

National Provider Directory

National Provider Directory

Locations

45 Ludlow St
Ste 506
Yonkers, NY 10705
Phone (914) 423-0025

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1063697704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 506",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 506",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-423-0025",
            "fax_number": "914-423-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESDAME OB/GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "LAURISTON",
        "authorized_official_first_name": "LAURE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-423-0025",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "242494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02889930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.