Organization Active NPI

White Plains Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • White Plains, NY
National Provider Identifier
1407957541
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
236004 Issued in NY
Legal business name
WHITE PLAINS GYNECOLOGY, LLC
Practice address
12 Greenridge Ave
Suite 302
White Plains, NY 10605-1238
Phone
(914) 937-6085
Fax
(914) 934-3253
NPI assigned
Sep 25, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Juan-Carlos Rojas, M.D.NPI 1003900606
Title
Officer
Phone
(914) 937-6085

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 236004 NY Primary

Addresses

Primary practice location

12 Greenridge Ave
Suite 302
White Plains, NY 10605-1238

Mailing address

12 Greenridge Ave
Suite 302
White Plains, NY 10605-1238
Phone (914) 937-6085

Other names 1

  • Rye Obstetrics and Gynecology, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060130000741 NY Part B Supplier - Clinic/Group Practice 0345254298 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

430 Westchester Ave
Port Chester, NY 10573
Phone (914) 937-6766

12 Greenridge Ave
Ste 302
White Plains, NY 10605
Phone (914) 934-3340

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1407957541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 302",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-937-6085",
            "fax_number": "914-934-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 302",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-937-6085",
            "fax_number": "914-934-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PLAINS GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "JUAN-CARLOS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "914-937-6085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "236004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rye Obstetrics and Gynecology, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.