Organization Active NPI

WGM Obstetrics and Gynecology,PC

  • Obstetrics & Gynecology Physician
  • East Northport, NY
National Provider Identifier
1346200912
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WGM OBSTETRICS AND GYNECOLOGY,PC
Practice address
7 Pulaski Rd
East Northport, NY 11731-2442
Phone
(631) 261-3322
Fax
(631) 368-5440
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
John Wagner
Title
President
Phone
(631) 261-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7 Pulaski Rd
East Northport, NY 11731-2442

Mailing address

7 Pulaski Rd
East Northport, NY 11731-2442
Phone (631) 261-3322

National Provider Directory

National Provider Directory

Locations

110 E Main St
#B2
Huntington, NY 11743
Phone (631) 261-3322

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1346200912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PULASKI RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312442",
            "telephone_number": "631-261-3322",
            "fax_number": "631-368-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PULASKI RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312442",
            "telephone_number": "631-261-3322",
            "fax_number": "631-368-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WGM OBSTETRICS AND GYNECOLOGY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-261-3322"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.