Royal Medical Center for Women PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

272090 Issued in NY

Legal business name

ROYAL MEDICAL CENTER FOR WOMEN PC

Practice address

3225 Fenton Ave
Bronx, NY 10469-2801

Phone

(718) 221-5001

Fax

(718) 221-5505

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kelvin K Jack, MD

Title

President

Phone

(718) 221-5001

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluyemi O Badero, MD, FACC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1598877839
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1154789451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032218",
            "telephone_number": "718-221-5001",
            "fax_number": "718-221-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 FENTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692801",
            "telephone_number": "718-221-5001",
            "fax_number": "718-221-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MEDICAL CENTER FOR WOMEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-221-5001",
        "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": "272090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02778018",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Estelis Roy, LMSW
• Kevin Jonathan Roy, DPM
• Rayna Roy
• Rohitha Roy
• Shusmita Roy, MD
• Gabriela Royal, MS. CCC-SLP
• Patricia G Royal, RN
• Tina Royal
• Royalty Early Intervention, Inc.
• Renee M Royceston, LMSW

• Gynecology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.