Organization Active NPI

GYN-OB Associates Southcoast Inc.

  • Specialist
  • Fall River, MA
National Provider Identifier
1235538646
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GYN-OB ASSOCIATES SOUTHCOAST INC.
Practice address
373 New Boston Rd
2ND Floor
Fall River, MA 02720-5814
Phone
(508) 679-0911
Fax
(508) 536-0310
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA 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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1235538646",
    "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 SOUTHCOAST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOUSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-679-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 21, 2014; 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.