Organization Active NPI

Great Neck Obstetrics & Gynecology PC

  • Obstetrics Physician
  • Great Neck, NY
National Provider Identifier
1255401253
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
1506301 Issued in NY
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

Updated by the provider on Sep 10, 2008

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)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0116243OtherNYAETNA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.