Moms OB-GYN PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

236736 Issued in NY

Legal business name

MOMS OB-GYN PC

Practice address

120 Bethpage Rd
Hicksville, NY 11801-1515

Phone

(516) 513-1004

Fax

(516) 390-9600

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Briana Farley, DELEGATED OFFICIAL

Title

Administrator

Phone

(516) 424-7919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Afshan Ashfaq, MD

  • Obstetrics & Gynecology Physician
  • Hicksville, NY
  • NPI 1487747440
  Medicare reassignment NPD

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1245728658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CLEARMEADOW DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541224",
            "telephone_number": "516-424-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-513-1004",
            "fax_number": "516-390-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMS OB-GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-424-7919",
        "authorized_official_credential": "DELEGATED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "236736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Wellness NP in Family Health PLLC
• Arun B Mohile, MD
• Sajia Mohmend
• Roany Isabel Molina
• Dennis Gerard Molloy, RPH. (PHARMACIST)
• Lauraine Monah
• Grace Margaret Monahan
• Gladys Mondelus, RN
• Cynthia B Monereau, LPN
• Monika Bhatia DDS PLLC

• Gynecology Physician in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.