Eliot L. Birnbaum MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

189300 Issued in NY

Legal business name

ELIOT L. BIRNBAUM MD PC

Practice address

200 Motor Pkwy
Suite D-22
Hauppauge, NY 11788-5100

Phone

(631) 724-8585

Fax

(631) 435-3423

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eliot L. Birnbaum, MD

Title

President

Phone

(631) 724-8585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1073586004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY",
            "address_2": "SUITE D-22",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885100",
            "telephone_number": "631-724-8585",
            "fax_number": "631-435-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY",
            "address_2": "SUITE D-22",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885100",
            "telephone_number": "631-724-8585",
            "fax_number": "631-435-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT L. BIRNBAUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-724-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "189300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Hauppauge, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.