Pavlides & Benson OB/GYN Associates, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

206780 Issued in NY

Legal business name

PAVLIDES & BENSON OB/GYN ASSOCIATES, PC

Practice address

2 Teleport Dr
Suite 207
Staten Island, NY 10311-1006

Phone

(718) 273-5500

Fax

(718) 273-3232

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Eric Delacruz, MD

Title

Officer

Phone

(718) 273-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lynda Surck, PA-C

  • Physician Assistant
  • Staten Island, NY
  • NPI 1538461082
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1295884773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TELEPORT DR",
            "address_2": "SUITE 207",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103111006",
            "telephone_number": "718-273-5500",
            "fax_number": "718-273-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TELEPORT DR",
            "address_2": "SUITE 207",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103111006",
            "telephone_number": "718-273-5500",
            "fax_number": "718-273-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVLIDES & BENSON OB/GYN ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-273-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "206780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Paulson, LCSW
• Jennifer Pavelec, LMSW
• Amanda Pavia
• Carol Pavin, LCSW
• Janice M Pavis, DO
• Anna C Pavlides, MD
• Maria Pawlak
• Pax Christi Hospice, Inc.
• Yefim Paykin, OTR/L
• Michele M Payne, DPT

• Obstetrics & Gynecology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.