NPIMap

Organization Active NPI

Genesis Fertility and Reproductive Medicine, P.C

  • Reproductive Endocrinology Physician
  • Brooklyn, NY
National Provider Identifier
1609447630
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
GENESIS FERTILITY AND REPRODUCTIVE MEDICINE, P.C
Practice address
6010 Bay Pkwy Ste 501
Brooklyn, NY 11204-6080
Phone
(718) 513-4021
Fax
(718) 283-6580
NPI assigned
Jul 9, 2021
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Dr. Richard V Grazi, MDNPI 1225123433
Title
Medical Director
Phone
(718) 513-4021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary
Ambulatory Fertility Facility 261QA0006X

Addresses

Primary practice location

6010 Bay Pkwy Ste 501
Brooklyn, NY 11204-6080

Mailing address

6010 Bay Pkwy Ste 501
Brooklyn, NY 11204-6080
Phone (718) 513-4021

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0706291Genesis Fertility and Reproductive Medicine PC6010 Bay Parkway, Brooklyn, NY 11204ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

6010 Bay Pkwy
Fl 5
Brooklyn, NY 11204
Phone (718) 283-8600

6010 Bay Pkwy
Ste 501
Brooklyn, NY 11204
Phone (718) 513-4021

10721 Queens Blvd
Ste 1
Forest Hills, NY 11375
Phone (718) 459-1493

1855 Richmond Ave
Fl 2
Staten Island, NY 10314
Phone (718) 818-1855

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1609447630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046080",
            "telephone_number": "718-513-4021",
            "fax_number": "718-283-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046080",
            "telephone_number": "718-513-4021",
            "fax_number": "718-283-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FERTILITY AND REPRODUCTIVE MEDICINE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "GRAZI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-513-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.