Active NPI
Womens Cancer Care of New York PC
- Gynecologic Oncology Physician
- Fresh Meadows, NY
National Provider Identifier
1508909805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- WOMENS CANCER CARE OF NEW YORK PC
- Practice address
- 16416 76TH Rd
Second Floor
Fresh Meadows, NY 11366-1255 - Phone
- (718) 380-8080
- Fax
- (718) 380-7649
- NPI assigned
- Feb 15, 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. Mark M Moradi, M.D.
- Title
- President
- Phone
- (718) 380-8080
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Gynecology Physician | 207VG0400X | |||
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
16416 76TH Rd
Second Floor
Fresh Meadows, NY 11366-1255
Mailing address
265 Revere Rd
Roslyn Heights, NY 11577-1629
Phone (718) 380-8080
National Provider Directory
National Provider DirectoryLocations
16020 Willets Point Blvd
Whitestone, NY 11357
Phone (718) 279-4300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274227200000",
"number": "1508909805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 REVERE RD",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771629",
"telephone_number": "718-380-8080",
"fax_number": "718-380-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16416 76TH RD",
"address_2": "SECOND FLOOR",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661255",
"telephone_number": "718-380-8080",
"fax_number": "718-380-7649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS CANCER CARE OF NEW YORK PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2010-05-19",
"status": "A",
"authorized_official_last_name": "MORADI",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-380-8080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.