Organization Active NPI

Greenwich OB/GYN Medical P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1124002027
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2133321 Issued in NY
Legal business name
GREENWICH OB/GYN MEDICAL P.C.
Practice address
40 Worth St
Suite 402
New York, NY 10013-2904
Phone
(646) 962-3400
Fax
(646) 588-2661
NPI assigned
Dec 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Dr. PO Ching Fong, MDNPI 1538339817
Title
President
Phone
(646) 256-3743

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2133321 NY Primary

Addresses

Primary practice location

40 Worth St
Suite 402
New York, NY 10013-2904

Mailing address

575 Lexington Ave
New York, NY 10022-6102
Phone (646) 962-3400

National Provider Directory

National Provider Directory

Locations

48 Market St
Ste B
New York, NY 10002
Phone (212) 766-9751

Practitioners & affiliated clinicians

Practitioners 1

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": "1133654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1124002027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "646-962-3400",
            "fax_number": "646-588-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WORTH ST",
            "address_2": "SUITE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132904",
            "telephone_number": "646-962-3400",
            "fax_number": "646-588-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH OB/GYN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-04",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "PO CHING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-256-3743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2133321",
            "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 Mar 23, 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.