Endo Fertililty Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ENDO FERTILILTY LAB INC

Practice address

332 East 30TH St.
New York, NY 10016

Phone

(917) 405-4444

NPI assigned

Sep 1, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Sevcik, MTASCP

Title

Principal

Phone

(917) 405-4444

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, and the practitioner matching its NPPES authorized official.

• Iris A Rosen, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1790997062
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366960031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 73RD PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857426",
            "telephone_number": "917-405-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 EAST 30TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "917-405-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 N Middletown Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pearl River",
            "state": "NY",
            "postal_code": "109652057",
            "country_code": "US",
            "telephone_number": "201-446-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDO FERTILILTY LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "SEVCIK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-405-4444",
        "authorized_official_credential": "MTASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabel Tseng Endean, MSN, RN, CRNFA
• Katherine Ender, MD
• Jennifer Marie Enderline, AG-ACNP
• Camilla Enders
• Michele Y Endich, LCSW
• Endo Laboratories, Inc.
• Andrea Endo
• Yoshimi Endo, M.D.
• Yuko Endo
• Endocrine and Metabolic Care and Associates, P.C.

• Clinical Medical Laboratory in New York, NY
• Providers in New York, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.