Organization Active NPI

Walk in Womens Gynecology PLLC

Doing business as Walk in GYN Care

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1649820614
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WALK IN WOMENS GYNECOLOGY PLLC
Doing business as
Walk in GYN Care
Practice address
5 Coddington Ave
Staten Island, NY 10306-4305
Phone
(917) 410-6905
NPI assigned
Sep 12, 2019
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Dr. Adeeti Gupta, MDNPI 1023271004
Title
Ceo
Phone
(917) 410-6905

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

5 Coddington Ave
Staten Island, NY 10306-4305

Mailing address

7001 Metropolitan Ave
Middle Village, NY 11379-2191
Phone (917) 410-6905

Other practice location 1

535 Clinton Ave
Brooklyn, NY 11238-2201
Phone (917) 410-6905

Other identifiers 1

IdentifierTypeStateIssuer
144422OtherNYLICENSE

Other names 1

  • WALK IN GYN CARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contact@walkingyn.com Direct

National Provider Directory

National Provider Directory

Locations

5 Coddington Ave
Staten Island, NY 10306
Phone (718) 351-1350

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.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1649820614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792191",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CODDINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064305",
            "telephone_number": "917-410-6905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112382201",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALK IN WOMENS GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ADEETI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-410-6905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "144422",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@walkingyn.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Coddington Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103064305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WALK IN GYN CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALK IN GYN CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.