Dr. Eden Fromberg, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DR. EDEN FROMBERG, DO

Doing business as

Holistic Gynecology New York

Practice address

197 Grand St
3E
New York, NY 10013-3790

Phone

(212) 343-8053

Fax

(212) 343-8055

NPI assigned

Mar 1, 2016

Last updated

Jan 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eden G Fromberg, DONPI 1396815957

Title

Doctor/Owner

Phone

(212) 343-8053

Specialties & licenses 1

Addresses

Other names 1

• Holistic Gynecology New York Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eden G Fromberg, DO

  • Gynecology Physician
  • Ghent, NY
  • NPI 1396815957
  Authorized official Same address or phone

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1154781334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 5TH AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105909",
            "telephone_number": "212-343-8053",
            "fax_number": "212-343-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 GRAND ST",
            "address_2": "3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133790",
            "telephone_number": "212-343-8053",
            "fax_number": "212-343-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDEN FROMBERG, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "FROMBERG",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "212-343-8053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Gynecology New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.