Individual provider Active NPI

Oskar Gaweda, M.D.

  • Obstetrics & Gynecology Physician
  • Ridgewood, NY
National Provider Identifier
1174773758
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
264565 Issued in NY
Practice address
6605 Fresh Pond Rd
Ridgewood, NY 11385-3334
Phone
(718) 271-9900
NPI assigned
Sep 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 264565 NY Primary

Addresses

Primary practice location

6605 Fresh Pond Rd
Ridgewood, NY 11385-3334

Mailing address

11912 Park LN S
Kew Gardens, NY 11415-1021
Phone (607) 371-1195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111002727 NY Practitioner - Obstetrics/Gynecology 6305235359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6605 Fresh Pond Rd
Ridgewood, NY 11385-3334
Phone (607) 371-1195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
264565NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Oskar Gaweda Medical Office PC CurrentSince Jul 14, 2021 Accepting new patients
Ridgewoods Obstetrics & Gynecology CurrentSince Oct 17, 2021 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: oskargaweda@mai.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1174773758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 PARK LN S",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151021",
            "telephone_number": "607-371-1195",
            "fax_number": "844-273-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853334",
            "telephone_number": "718-271-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWEDA",
        "first_name": "OSKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "264565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.