Victory Obstetrics & Gynecology PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

199593 Issued in NY

Legal business name

VICTORY OBSTETRICS & GYNECOLOGY PC

Practice address

78 Cromwell Ave
Suite C
Staten Island, NY 10304-3933

Phone

(718) 981-5900

Fax

(718) 273-9589

NPI assigned

Jul 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Christopher G Laporta, MD

Title

President

Phone

(718) 981-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278115200000",
    "number": "1477865616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CROMWELL AVE",
            "address_2": "SUITE C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043933",
            "telephone_number": "718-981-5900",
            "fax_number": "718-273-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CROMWELL AVE",
            "address_2": "SUITE C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043933",
            "telephone_number": "718-981-5900",
            "fax_number": "718-273-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-03",
        "last_updated": "2010-07-03",
        "status": "A",
        "authorized_official_last_name": "LAPORTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-981-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "199593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01710136",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Staten Island, NY
• Providers in Staten Island, 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 Jul 3, 2010; 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.