Organization Active NPI

Womens Medical Services PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1629058763
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
001416 Issued in NY
Legal business name
WOMENS MEDICAL SERVICES PC
Practice address
9413 Flatlands Ave
Suite 206 E
Brooklyn, NY 11236-3707
Phone
(718) 485-2420
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Juan SandovalNPI 1770563272
Title
Director Officer
Phone
(718) 485-2420

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 001416 NY Primary

Addresses

Primary practice location

9413 Flatlands Ave
Suite 206 E
Brooklyn, NY 11236-3707

Mailing address

2 Barnes LN
Garden City, NY 11530-4402
Phone (718) 485-2420

National Provider Directory

National Provider Directory

Locations

1 Brookdale Plz
Ste 4K
Brooklyn, NY 11212
Phone (718) 240-5977

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1629058763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES LN",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304402",
            "telephone_number": "718-485-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVE",
            "address_2": "SUITE 206 E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363707",
            "telephone_number": "718-485-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DIRECTOR OFFICER",
        "authorized_official_telephone_number": "718-485-2420"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "001416",
            "primary": true
        }
    ],
    "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 Jun 29, 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.

Verify at the official NPI Registry.