Organization Active NPI

Affordable Fertility Medical Care PC

  • Reproductive Endocrinology Physician
  • Forest Hills, NY
National Provider Identifier
1205067949
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
162235-1 Issued in NY
Legal business name
AFFORDABLE FERTILITY MEDICAL CARE PC
Practice address
11015 71St Rd
Forest Hills, NY 11375-4951
Phone
(646) 245-5358
Fax
(718) 268-1797
NPI assigned
Jul 29, 2009
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Dr. Vincent Turover Brandeis, M.D.
Title
President and Sole Stockholder
Phone
(646) 245-5358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 162235-1 NY Primary

Addresses

Primary practice location

11015 71St Rd
Forest Hills, NY 11375-4951

Mailing address

PO Box 204
Planetarium Station
New York, NY 10024-0204
Phone (646) 245-5358

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1205067949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "address_2": "PLANETARIUM STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100240204",
            "telephone_number": "646-245-5358",
            "fax_number": "646-596-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 71ST RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754951",
            "telephone_number": "646-245-5358",
            "fax_number": "718-268-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE FERTILITY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "BRANDEIS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "TUROVER",
        "authorized_official_title_or_position": "PRESIDENT AND SOLE STOCKHOLDER",
        "authorized_official_telephone_number": "646-245-5358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "162235-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.