Organization Active NPI

Downtown Women OB GYN Associates LLP

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1104015536
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
1319771 Issued in NY
Legal business name
DOWNTOWN WOMEN OB GYN ASSOCIATES LLP
Practice address
568 Broadway
Suite 304
New York, NY 10012-3225
Phone
(212) 966-7600
Fax
(212) 966-8820
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Dr. Shelley Kolton, MDNPI 1205934999
Title
Senior Partner
Phone
(212) 966-7600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 1319771 NY Primary

Addresses

Primary practice location

568 Broadway
Suite 304
New York, NY 10012-3225

Mailing address

568 Broadway
Suite 304
New York, NY 10012-3225
Phone (212) 966-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000561 NY Part B Supplier - Clinic/Group Practice 4981752342 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0868506Downtown Women OB/GYN Associates LLP568 Broadway Suite 304, New York, NY 10012Provider-performed microscopyMar 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1104015536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123225",
            "telephone_number": "212-966-7600",
            "fax_number": "212-966-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123225",
            "telephone_number": "212-966-7600",
            "fax_number": "212-966-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN WOMEN OB GYN ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "KOLTON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "212-966-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "1319771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.