Active NPI
Long Island Gynecologic Oncologists, PC
- Gynecologic Oncology Physician
- Smithtown, NY
National Provider Identifier
1366463234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- LONG ISLAND GYNECOLOGIC ONCOLOGISTS, PC
- Practice address
- 1077 W Jericho Tpke
Smithtown, NY 11787-3204 - Phone
- (631) 864-5440
- Fax
- (631) 864-5440
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dayna McCauley
- Title
- Office Manager
- Phone
- (631) 864-5440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
1077 W Jericho Tpke
Smithtown, NY 11787-3204
Mailing address
1077 W Jericho Tpke
Smithtown, NY 11787-3204
Phone (631) 864-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01796625 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecologic Oncology Physician
- New York, NY
- NPI 1659321982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229904000000",
"number": "1366463234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873204",
"telephone_number": "631-864-5440",
"fax_number": "631-864-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873204",
"telephone_number": "631-864-5440",
"fax_number": "631-864-5440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND GYNECOLOGIC ONCOLOGISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2008-12-22",
"status": "A",
"authorized_official_last_name": "MCCAULEY",
"authorized_official_first_name": "DAYNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-864-5440"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01796625",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
- Long Island Chiropractic & Physical Therapy, PLLC
- Long Island Chiropractic, Health & Wellness, P.C.
- Long Island Chiropractic, Physical Therapy & Nurse Practitioner in Adult Health of Smithtown, PLLC
- Long Island Elder Care LCSW PLLC
- Long Island Gastroenterology and Liver Disease P.C.
- Long Island Hand Rehab
- Long Island Home Medical Care, P.C.
- Long Island Integrative Functional Medicine, PC
- Long Island Medical Office, PLLC
- Long Island Neurological, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.