Active NPI
Bimc Faculty Practice
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1386717387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- BIMC FACULTY PRACTICE
- Practice address
- 10 Union SQ E
New York, NY 10003-3314 - Phone
- (212) 420-2000
- NPI assigned
- Nov 16, 2006
- Last updated
- Oct 22, 2007
- Organization subpart
- Yes
- Parent organization
- BIMC FACULTY PRACTICE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Shulkin, MD
- Title
- VP
- Phone
- (212) 844-1525
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
10 Union SQ E
New York, NY 10003-3314
Mailing address
160 Water St
20TH FL
New York, NY 10038-4922
Phone (212) 256-3539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02882117 | Medicaid | NY |
National Provider Directory
National Provider Directory- Part of
- Bimc Faculty Practice -ER
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1386717387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"address_2": "20TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-256-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-420-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIMC FACULTY PRACTICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BIMC FACULTY PRACTICE",
"enumeration_date": "2006-11-16",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "SHULKIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "212-844-1525",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02882117",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.