Bay Shore OB GYN Group PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

136230 Issued in NY

Legal business name

BAY SHORE OB GYN GROUP PC

Practice address

41 Brentwood Rd
Bay Shore, NY 11706-6923

Phone

(631) 665-0808

Fax

(631) 665-0816

NPI assigned

Oct 31, 2006

Last updated

Jun 10, 2008By 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

Dr. Robert John Lipari, MD

Title

President

Phone

(631) 665-0808

Specialties & licenses 1

Addresses

Other identifiers 10

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1407932684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066923",
            "telephone_number": "631-665-0808",
            "fax_number": "631-665-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066923",
            "telephone_number": "631-665-0808",
            "fax_number": "631-665-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SHORE OB GYN GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "LIPARI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-665-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "136230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "49221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC AETNA",
            "identifier": "70836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0059757 11068BS",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00642764",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "PM9116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNAHEALTH",
            "identifier": "2154",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AG45807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "14454",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4217872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "PM9116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Valeria Bautista Rojas, MD
• Bay Shore Brightwaters Rescue Ambulance Inc.
• Bay Shore Family Medicine Associates, P.C.
• Bay Shore Medical Healthcare PC
• Bay Shore Medical Services, P.C.
• Bay Shore Physical Medicine &Rehabilitation
• Bay Shore Physical Therapy
• Bay Shore Ufsd
• Bay Shore Union Free School District
• Bayshore Chiropractic PC

• Obstetrics & Gynecology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.