Organization Active NPI

Woman to Woman GYN of Naples

  • Gynecology Physician
  • Naples, FL
National Provider Identifier
1376651091
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME62510 Issued in FL
Legal business name
WOMAN TO WOMAN GYN OF NAPLES
Practice address
1201 Piper Blvd Ste 21
Naples, FL 34110-1385
Phone
(239) 591-3311
Fax
(239) 591-3327
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Janice Nicole YoungNPI 1124136742
Title
Provider
Phone
(239) 591-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VF0040X ME62510 FL
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X ME62510 FL Primary

Addresses

Primary practice location

1201 Piper Blvd Ste 21
Naples, FL 34110-1385

Mailing address

1201 Piper Blvd Ste 21
Naples, FL 34110-1385
Phone (239) 591-3311

Other identifiers 2

IdentifierTypeStateIssuer
25067OtherFLB/C B/S
374549000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000129 FL Part B Supplier - Clinic/Group Practice 9234043001 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

3920 Via del Rey
Ste 1
Bonita Springs, FL 34134
Phone (239) 676-9406

1735 SW Health Pkwy
Naples, FL 34109
Phone (239) 591-3460

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1376651091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PIPER BLVD STE 21",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101385",
            "telephone_number": "239-591-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PIPER BLVD STE 21",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101385",
            "telephone_number": "239-591-3311",
            "fax_number": "239-591-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN TO WOMAN GYN OF NAPLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "239-591-3311"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME62510",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME62510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "25067",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374549000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.