Organization Active NPI

Contemporary OB-GYN Health Care LLC

  • Obstetrics & Gynecology Physician
  • Elmhurst, NY
National Provider Identifier
1063845378
Registry record updated Aug 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CONTEMPORARY OB-GYN HEALTH CARE LLC
Practice address
9411 59TH Ave Apt A10
Elmhurst, NY 11373-5101
Phone
(718) 393-0300
NPI assigned
Aug 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2013

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

Authorized official

Name
Bella Manukyan
Title
Biller
Phone
(718) 393-0300

Specialties & licenses 1

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

Addresses

Primary practice location

9411 59TH Ave Apt A10
Elmhurst, NY 11373-5101

Mailing address

9411 59TH Ave Apt A10
Elmhurst, NY 11373-5101
Phone (718) 393-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131113000139 NY Part B Supplier - Clinic/Group Practice 6709012198 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY; Ozone Park, NY

National Provider Directory

National Provider Directory

Locations

9501 101st Ave
Ozone Park, NY 11416
Phone (718) 845-0290

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": "1376179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376179200000",
    "number": "1063845378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 59TH AVE APT A10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735101",
            "telephone_number": "718-393-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 59TH AVE APT A10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735101",
            "telephone_number": "718-393-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY OB-GYN HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-11",
        "last_updated": "2013-08-11",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "718-393-0300"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.