Organization Active NPI

Endometriosis Medical Specialist PLLC

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1457111544
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ENDOMETRIOSIS MEDICAL SPECIALIST PLLC
Practice address
870 5TH Ave Apt 1G
New York, NY 10065-4907
Phone
(212) 988-1444
Fax
(212) 988-1755
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. Tamer Seckin, MDNPI 1164452827
Title
Prseident
Phone
(718) 915-0408

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
Gynecology Physician 207VG0400X Primary

Addresses

Primary practice location

870 5TH Ave Apt 1G
New York, NY 10065-4907

Mailing address

870 5TH Ave Apt 1G
New York, NY 10065-4907
Phone (212) 988-1444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1457111544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 5TH AVE APT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654907",
            "telephone_number": "212-988-1444",
            "fax_number": "212-988-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 5TH AVE APT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654907",
            "telephone_number": "212-988-1444",
            "fax_number": "212-988-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOMETRIOSIS MEDICAL SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "SECKIN",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "PRSEIDENT",
        "authorized_official_telephone_number": "718-915-0408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 19, 2024; 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.