Active NPI
Valley Obstetrics and Gynecology, PC
- Obstetrics & Gynecology Physician
- Poughkeepsie, NY
National Provider Identifier
1629193503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 159629
- Legal business name
- VALLEY OBSTETRICS AND GYNECOLOGY, PC
- Practice address
- 1 Webster Ave Ste 300
Poughkeepsie, NY 12601-1362 - Phone
- (845) 483-5893
- Fax
- (845) 471-4381
- NPI assigned
- Mar 20, 2007
- Last updated
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Azzam M. Salem, M.D.
- Title
- President
- Phone
- (845) 483-5893
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 161168 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 159629 | NY | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 138741 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 141726 | NY |
Addresses
Primary practice location
1 Webster Ave Ste 300
Poughkeepsie, NY 12601-1362
Mailing address
1 Webster Ave Ste 300
Poughkeepsie, NY 12601-1362
Phone (845) 483-5893
National Provider Directory
National Provider DirectoryLocations
1 Webster Ave
Ste 300
Poughkeepsie, NY 12601
Phone (845) 457-7251
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Poughkeepsie, NY
- NPI 1013021856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1629193503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WEBSTER AVE STE 300",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011362",
"telephone_number": "845-483-5893",
"fax_number": "845-471-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WEBSTER AVE STE 300",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011362",
"telephone_number": "845-483-5893",
"fax_number": "845-471-4381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY OBSTETRICS AND GYNECOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "SALEM",
"authorized_official_first_name": "AZZAM",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-483-5893",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "161168",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "159629",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "138741",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "141726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.