Active NPI
Great Neck Obstetrics & Gynecology PC
- Obstetrics Physician
- Great Neck, NY
National Provider Identifier
1255401253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 1506301
- Legal business name
- GREAT NECK OBSTETRICS & GYNECOLOGY PC
- Practice address
- 900 Northern Blvd
Great Neck, NY 11021-5302 - Phone
- (516) 466-0778
- Fax
- (516) 466-0825
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry P Rifkin, MD
- Title
- President
- Phone
- (516) 466-0778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 1506301 | NY | Primary |
Addresses
Primary practice location
900 Northern Blvd
Great Neck, NY 11021-5302
Mailing address
900 Northern Blvd
Great Neck, NY 11021-5302
Phone (516) 466-0778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116243 | Other | NY | AETNA |
National Provider Directory
National Provider DirectoryLocations
900 Northern Blvd
Ste 220
Great Neck, NY 11021
Phone (516) 466-0778
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Great Neck, NY
- NPI 1447580964
-
- Obstetrics & Gynecology Physician
- Great Neck, NY
- NPI 1548359300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221004800000",
"number": "1255401253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215302",
"telephone_number": "516-466-0778",
"fax_number": "516-466-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215302",
"telephone_number": "516-466-0778",
"fax_number": "516-466-0825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT NECK OBSTETRICS & GYNECOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2008-09-10",
"status": "A",
"authorized_official_last_name": "RIFKIN",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-466-0778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "1506301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0116243",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.