Individual provider Active NPI

Johana Oviedo, M.D., M.P.H.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1629488184
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
292266 Issued in NY
Practice address
622 W 168TH St PH 16-69
New York, NY 10032-3720
Phone
(212) 305-4098
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 292266 NY Primary

Addresses

Primary practice location

622 W 168TH St PH 16-69
New York, NY 10032-3720

Mailing address

265 Cabrini Blvd Apt 6a
New York, NY 10040-3630
Phone (817) 908-1937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605000222 NY Practitioner - Obstetrics/Gynecology 9436414927 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Obstetrics & Gynecology CurrentSince Jun 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Obstetrics & Gynecology CurrentSince Jun 1, 2018 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 8, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 8, 2021 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

622 W 168th St
Ph 1669
New York, NY 10032
Phone (212) 305-4938

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

227 Madison St
New York, NY 10002
Phone (212) 238-7000

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: joviedo1358785@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1629488184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CABRINI BLVD APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403630",
            "telephone_number": "817-908-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST PH 16-69",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVIEDO",
        "first_name": "JOHANA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "292266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.