Organization Active NPI

Dr. Dorothy Nene Ogundu, MD, PC

  • Gynecology Physician
  • Saint Albans, NY
National Provider Identifier
1396945622
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
167797-1 Issued in NY
Legal business name
DR. DOROTHY NENE OGUNDU, MD, PC
Practice address
11455 Farmers Blvd
1St Floor
Saint Albans, NY 11412-2740
Phone
(718) 776-9699
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Dorothy N Ogundu, M.D
Title
President
Phone
(718) 776-9699

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 167797-1 NY Primary
Medical Specialty Clinic/Center 261QM2500X 167797-1 NY

Addresses

Primary practice location

11455 Farmers Blvd
1St Floor
Saint Albans, NY 11412-2740

Mailing address

11455 Farmers Blvd
1St Floor
Saint Albans, NY 11412-2740
Phone (718) 776-9699

Other identifiers 1

IdentifierTypeStateIssuer
01108070MedicaidNY

National Provider Directory

National Provider Directory

Locations

11455 Farmers Blvd
#1
Saint Albans, NY 11412
Phone (718) 776-9699

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1396945622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 FARMERS BLVD",
            "address_2": "1ST FLOOR",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122740",
            "telephone_number": "718-776-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 FARMERS BLVD",
            "address_2": "1ST FLOOR",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122740",
            "telephone_number": "718-776-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOROTHY NENE OGUNDU, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "OGUNDU",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-776-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "167797-1",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "167797-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01108070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.