Comprehensive OB/GYN Care, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

213092 Issued in NY

Legal business name

COMPREHENSIVE OB/GYN CARE, PC

Practice address

252 Beach 14TH St
Suite C1
Far Rockaway, NY 11691-5555

Phone

(347) 926-4101

Fax

(347) 619-9031

NPI assigned

May 12, 2014

Last updated

May 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Blake, M.D.

Title

Owner/Operator

Phone

(347) 926-4101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1609287812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 HANCOCK ST",
            "address_2": "APT. # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331108",
            "telephone_number": "347-926-4101",
            "fax_number": "347-619-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BEACH 14TH ST",
            "address_2": "SUITE C1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915555",
            "telephone_number": "347-926-4101",
            "fax_number": "347-619-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OB/GYN CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "347-926-4101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "213092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.