Active NPI
Nina Resetkova, M.D.
- Obstetrics & Gynecology Physician
- Loudonville, NY
National Provider Identifier
1659698173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 290016
- Practice address
- 399 Albany Shaker Rd
Loudonville, NY 12211-1961 - Phone
- (518) 434-9759
- Fax
- (518) 436-9822
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 258864 | MA | |
| Obstetrics & Gynecology Physician | 207V00000X | 290016 | NY | Primary |
Addresses
Primary practice location
399 Albany Shaker Rd
Loudonville, NY 12211-1961
Mailing address
399 Albany Shaker Rd
Loudonville, NY 12211-1961
Phone (617) 667-2966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290016 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Boston Ivf, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Albany Ivf-Fertility and Gynecology Center | Obstetrics & Gynecology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
130 Second Ave
Waltham, MA 02451
Phone (781) 434-6400
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1518908136
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Specialist
- Albany, NY
- NPI 1588835763
Obstetrics & Gynecology
-
- Reproductive Endocrinology Physician
- Waltham, MA
- NPI 1326122839
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659698173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 ALBANY SHAKER RD",
"city": "LOUDONVILLE",
"state": "NY",
"postal_code": "122111961",
"telephone_number": "617-667-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 ALBANY SHAKER RD",
"city": "LOUDONVILLE",
"state": "NY",
"postal_code": "122111961",
"telephone_number": "518-434-9759",
"fax_number": "518-436-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESETKOVA",
"first_name": "NINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "258864",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "290016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loudonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.