Organization Active NPI

Fertility Enhancement Service

  • Reproductive Endocrinology Physician
  • Albany, NY
National Provider Identifier
1306976394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
114044 Issued in NY
Legal business name
FERTILITY ENHANCEMENT SERVICE
Practice address
130 Everett Rd
Albany, NY 12205
Phone
(518) 482-1007
Fax
(518) 489-6210
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edgar Saul Henriguel, MD
Title
Owner
Phone
(518) 482-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 114044 NY Primary

Addresses

Primary practice location

130 Everett Rd
Albany, NY 12205

Mailing address

130 Everett Rd
Albany, NY 12205
Phone (518) 482-1007

Other identifiers 2

IdentifierTypeStateIssuer
353788OtherMNP
05068210OtherEMPIRE BLUE CROSS BLUE SH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306976394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-482-1007",
            "fax_number": "518-489-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-482-1007",
            "fax_number": "518-489-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY ENHANCEMENT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRIGUEL",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-482-1007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "114044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNP",
            "identifier": "353788",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "05068210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.