Organization Active NPI

Womens Cancer Care of New York PC

  • Gynecologic Oncology Physician
  • Fresh Meadows, NY
National Provider Identifier
1508909805
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
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

Updated by the provider on May 19, 2010

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X
Gynecologic Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.