Active NPI
Dr. Dorothy Nene Ogundu, MD, PC
- Gynecology Physician
- Saint Albans, NY
National Provider Identifier
1396945622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 167797-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01108070 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.