NPIMap

Organization Active NPI

1016 5TH Ave Gynecology PC

  • Specialist
  • New York, NY
National Provider Identifier
1568838845
Registry record updated Aug 20, 2015
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CERT# 1576 Issued in NY
Legal business name
1016 5TH AVE GYNECOLOGY PC
Practice address
1016 5TH Ave
New York, NY 10028-0132
Phone
(212) 734-5555
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Majid Fateh, M.D.
Title
Medical Director
Phone
(212) 734-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CERT# 1576 NY Primary

Addresses

Primary practice location

1016 5TH Ave
New York, NY 10028-0132

Mailing address

1016 5TH Ave
New York, NY 10028-0132

Other identifiers 1

IdentifierTypeStateIssuer
1576OtherNYAMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1568838845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280132",
            "telephone_number": "212-734-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1016 5TH AVE GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "FATEH",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-734-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "CERT# 1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.",
            "identifier": "1576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.