Active NPI
Shore OB GYN, P.C.
- Obstetrics & Gynecology Physician
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 182878
- Legal business name
- SHORE OB GYN, P.C.
- Practice address
- 69 West Main St.
Bay Shore, NY 11706-8313 - Phone
- (631) 665-4044
- Fax
- (631) 665-3928
- NPI assigned
- Nov 25, 2009
- Last updated
- Nov 25, 2009
- 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 Thomas Foehr, M.D.
- Title
- Physician
- Phone
- (631) 665-4044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 182878 | NY | Primary |
Addresses
Primary practice location
69 West Main St.
Bay Shore, NY 11706-8313
Mailing address
69 West Main St.
Bay Shore, NY 11706-8313
Phone (631) 665-4044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01569295 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
69 W Main St
Bay Shore, NY 11706
Phone (631) 665-4044
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.
-
- Obstetrics & Gynecology Physician
- Bay Shore, NY
- NPI 1144307299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259107200000",
"number": "1528396892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 WEST MAIN ST.",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068313",
"telephone_number": "631-665-4044",
"fax_number": "631-665-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 WEST MAIN ST.",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068313",
"telephone_number": "631-665-4044",
"fax_number": "631-665-3928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORE OB GYN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-25",
"last_updated": "2009-11-25",
"status": "A",
"authorized_official_last_name": "FOEHR",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "631-665-4044",
"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": "182878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01569295",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.