Active NPI
Sharon Obstetrical,Gynecological,Medical Surgical Group PLLC
- Obstetrics & Gynecology Physician
- Salt Point, NY
National Provider Identifier
1174824882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 154156-1
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.