NPIMap

Organization Active NPI

Waterside Womens Medical Care PC

  • Obstetrics & Gynecology Physician
  • Putnam Valley, NY
National Provider Identifier
1174543904
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WATERSIDE WOMENS MEDICAL CARE PC
Practice address
205 Waterside Professional Park
Suite 205
Putnam Valley, NY 10579-3505
Phone
(914) 528-7664
Fax
(914) 526-2386
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Anthony Damian Lopes, MD
Title
Owner
Phone
(914) 528-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

205 Waterside Professional Park
Suite 205
Putnam Valley, NY 10579-3505

Mailing address

205 Waterside Professional Park
Suite 205
Putnam Valley, NY 10579-3505
Phone (914) 528-7664

National Provider Directory

National Provider Directory

Locations

205 Waterside Professional Park
Ste 205
Putnam Valley, NY 10579
Phone (914) 528-7664

Practitioners & affiliated clinicians

Practitioners 7

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1174543904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WATERSIDE PROFESSIONAL PARK",
            "address_2": "SUITE 205",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793505",
            "telephone_number": "914-528-7664",
            "fax_number": "914-526-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WATERSIDE PROFESSIONAL PARK",
            "address_2": "SUITE 205",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793505",
            "telephone_number": "914-528-7664",
            "fax_number": "914-526-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSIDE WOMENS MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DAMIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-528-7664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.