NPIMap

Organization Active NPI

Contemporary OB GYN Physician Specialists PC

  • Specialist
  • Islandia, NY
National Provider Identifier
1184808990
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CONTEMPORARY OB GYN PHYSICIAN SPECIALISTS PC
Practice address
3001 Expressway Dr N
Suite 116
Islandia, NY 11749-5301
Phone
(631) 292-6747
Fax
(631) 292-6767
NPI assigned
Dec 28, 2007
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Brian P McKenna, MDNPI 1518932276
Title
President
Phone
(631) 292-6747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3001 Expressway Dr N
Suite 116
Islandia, NY 11749-5301

Mailing address

3001 Expressway Dr N
Suite 116
Islandia, NY 11749-5301
Phone (631) 292-6747

Other identifiers 2

IdentifierTypeStateIssuer
02075923MedicaidNY
CJ2895OtherNYRAILROAD MEDICARE

Other names 1

  • CONTEMPORARY WOMENS CARE Former legal business name

National Provider Directory

National Provider Directory

Locations

3001 Express Dr N
Ste 116
Islandia, NY 11749
Phone (631) 292-6747

48 Route 25A
Ste 301
Smithtown, NY 11787
Phone (516) 724-1000

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1184808990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXPRESSWAY DR N",
            "address_2": "SUITE 116",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495301",
            "telephone_number": "631-292-6747",
            "fax_number": "631-292-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EXPRESSWAY DR N",
            "address_2": "SUITE 116",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495301",
            "telephone_number": "631-292-6747",
            "fax_number": "631-292-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY OB GYN PHYSICIAN SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-292-6747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02075923",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ2895",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONTEMPORARY WOMENS CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.