Women's Health Center Ext Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WOMEN'S HEALTH CENTER EXT CLINIC

Practice address

110 Wyckoff Ave
Women's Health Center Ext Clinic
Brooklyn, NY 11237-3904

Phone

(718) 963-6485

NPI assigned

Jan 30, 2014

Organization subpart

Yes

Parent organization

STOCKHOLM OB/GYN SERVICES, PCAs reported in NPPES

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

Authorized official

Name

Frank Vutrano

Title

Chief Financial Officer

Phone

(718) 963-6702

Specialties & licenses 5

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hitendra Hansalia4 organizations share this tax ID, including this one

Part of

Hitendra Hansalia

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Stockholm OB/GYN Services, PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1225449507
  NPD tax ID
• Stockholm Obstetrics & Gynecological Services, PC

  • Clinic/Center
  • Middle Village, NY
  • NPI 1902265010
  NPD tax ID
• Stockholm Obstetrics & Gynecological Services, PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1932574563
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Ruggiero, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1700839875
  NPD (past)

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1528481348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "address_2": "WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-486-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WYCKOFF AVE",
            "address_2": "WOMEN'S HEALTH CENTER EXT CLINIC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373904",
            "telephone_number": "718-963-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH CENTER EXT CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOCKHOLM OB/GYN SERVICES, PC",
        "enumeration_date": "2014-01-30",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "VUTRANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-963-6702"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03299956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fradel Wolpin
• Rifka Wolpin, MSED
• Julia Woltjen, CAT-LP
• Woman to Woman Obs/GYN Services, PLLC
• Daionah Womely, LMSW
• Women's Health of Ny, P.C.
• Women's Health Physical Therapy of Brooklyn, P.C.
• Women's League Community Residences, Inc.
• Women's League Community Residences, Inc.
• Womencare Obstetrics and Gynecology P.C.

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.