NPIMap

Organization Active NPI

GYN-OB Associates Inc

  • Medical Specialty Clinic/Center
  • Fall River, MA
National Provider Identifier
1215009196
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GYN-OB ASSOCIATES INC
Practice address
373 New Boston Rd
2ND Floor
Fall River, MA 02720-5814
Phone
(508) 679-0911
Fax
(508) 536-0310
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Moustafa M F Ali, MD
Title
President
Phone
(508) 679-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

373 New Boston Rd
2ND Floor
Fall River, MA 02720-5814

Mailing address

373 New Boston Rd
2ND Floor
Fall River, MA 02720-5814
Phone (508) 679-0911

Other identifiers 8

IdentifierTypeStateIssuer
5066517OtherNON HMO EATNA US HEALTHCA
2269AOtherNHP RHODE ISLAND
9778292MedicaidMA
951961OtherAETNA US HEALTH CARE
M11968OtherMABC BS MASS
0000004325OtherRIBC BS RHODE ISLAND
0010239OtherNHP MASS
601291OtherTUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000071 MA Part B Supplier - Clinic/Group Practice 8123073665 Receives reassigned benefits from 5 practitioners
Practice locations: Fall River, MA

National Provider Directory

National Provider Directory
Tax ID family
GYN-OB Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

373 New Boston Rd
Fall River, MA 02720
Phone (508) 679-0054

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1215009196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 NEW BOSTON RD",
            "address_2": "2ND FLOOR",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205814",
            "telephone_number": "508-679-0911",
            "fax_number": "508-536-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 NEW BOSTON RD",
            "address_2": "2ND FLOOR",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205814",
            "telephone_number": "508-679-0911",
            "fax_number": "508-536-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYN-OB ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOUSTAFA",
        "authorized_official_middle_name": "M F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-679-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON HMO EATNA US HEALTHCA",
            "identifier": "5066517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP RHODE ISLAND",
            "identifier": "2269A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9778292",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH CARE",
            "identifier": "951961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS MASS",
            "identifier": "M11968",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS RHODE ISLAND",
            "identifier": "0000004325",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP MASS",
            "identifier": "0010239",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "601291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.