NPIMap

Organization Active NPI

Argen-Medical, PLLC

  • Obstetrics & Gynecology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1235361643
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ARGEN-MEDICAL, PLLC
Practice address
5225 Route 347 Ste 70
Port Jefferson Station, NY 11776-2061
Phone
(631) 331-8777
NPI assigned
Aug 18, 2009
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Gustavo San Roman, M.D.NPI 1619917960
Title
Owner
Phone
(631) 331-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

5225 Route 347 Ste 70
Port Jefferson Station, NY 11776-2061

Mailing address

45 Research Way Ste 208B
East Setauket, NY 11733-6401
Phone (631) 675-2125

Other names 1

  • University Associates of Obstetrics & Gynecology, UFPC Other name

National Provider Directory

National Provider Directory

Locations

45 Research Way
Ste 208B
East Setauket, NY 11733

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1235361643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESEARCH WAY STE 208B",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336401",
            "telephone_number": "631-675-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 ROUTE 347 STE 70",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762061",
            "telephone_number": "631-331-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARGEN-MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "SAN ROMAN",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-331-8777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Associates of Obstetrics & Gynecology, UFPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.