Organization Active NPI

Village Obstetrics, LLC

  • Maternal & Fetal Medicine Physician
  • New York, NY
National Provider Identifier
1275855900
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
198008-1 Issued in NY
Legal business name
VILLAGE OBSTETRICS, LLC
Practice address
1225 Park Ave Ste 1D
New York, NY 10128-1758
Phone
(212) 741-2229
Fax
(212) 741-2228
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Jaqueline M Worth, MDNPI 1619971975
Title
Manager
Phone
(212) 741-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 2114481 NY
Maternal & Fetal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VM0101X 198008-1 NY Primary
Maternal & Fetal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VM0101X
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X

Addresses

Primary practice location

1225 Park Ave Ste 1D
New York, NY 10128-1758

Mailing address

1225 Park Ave Ste 1D
New York, NY 10128-1758
Phone (212) 741-2228

National Provider Directory

National Provider Directory

Locations

101 W 12th St
New York, NY 10011
Phone (212) 705-8785

Practitioners & affiliated clinicians

Practitioners 1

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1275855900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 PARK AVE STE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281758",
            "telephone_number": "212-741-2228",
            "fax_number": "212-741-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 PARK AVE STE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281758",
            "telephone_number": "212-741-2229",
            "fax_number": "212-741-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OBSTETRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-741-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2114481",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "198008-1",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.