Organization Active NPI

Sharon Obstetrical,Gynecological,Medical Surgical Group PLLC

  • Obstetrics & Gynecology Physician
  • Salt Point, NY
National Provider Identifier
1174824882
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
154156-1 Issued in NY
Legal business name
SHARON OBSTETRICAL,GYNECOLOGICAL,MEDICAL SURGICAL GROUP PLLC
Practice address
2510 Route 44 Ste 5
Salt Point, NY 12578-8041
Phone
(860) 364-0536
Fax
(860) 364-1299
NPI assigned
Nov 11, 2010
Last updated
Nov 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Ann Cassese
Title
Manager
Phone
(860) 364-0536

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 164036-1 NY
Obstetrics & Gynecology Physician 207V00000X 167955-1 NY
Obstetrics & Gynecology Physician 207V00000X 212348-1 NY
Obstetrics & Gynecology Physician 207V00000X 154156-1 NY Primary
Surgery Physician 208600000X 244135 NY
Surgery Physician 208600000X 185676 NY

Addresses

Primary practice location

2510 Route 44 Ste 5
Salt Point, NY 12578-8041

Mailing address

2510 Route 44 Ste 5
Salt Point, NY 12578-8041
Phone (860) 364-0536

National Provider Directory

National Provider Directory

Locations

2510 Route 44
Ste 5
Salt Point, NY 12578
Phone (860) 364-0536

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1174824882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 ROUTE 44 STE 5",
            "city": "SALT POINT",
            "state": "NY",
            "postal_code": "125788041",
            "telephone_number": "860-364-0536",
            "fax_number": "860-364-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 ROUTE 44 STE 5",
            "city": "SALT POINT",
            "state": "NY",
            "postal_code": "125788041",
            "telephone_number": "860-364-0536",
            "fax_number": "860-364-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON OBSTETRICAL,GYNECOLOGICAL,MEDICAL SURGICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "CASSESE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-364-0536"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "164036-1",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "167955-1",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "212348-1",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "154156-1",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "244135",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "185676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.