Greater Binghamton Obstetrics and Gynecology,PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

232736 Issued in NY

Legal business name

GREATER BINGHAMTON OBSTETRICS AND GYNECOLOGY,PLLC

Practice address

365 Harry L Dr
Suite 110
Johnson City, NY 13790-1471

Phone

(607) 729-5805

Fax

(607) 729-7714

NPI assigned

Apr 7, 2009

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Domenico A Leuci, MDNPI 1851352058

Title

Owner

Phone

(607) 727-5805

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Domenico Leuci, MD

  • Obstetrics & Gynecology Physician
  • Johnson City, NY
  • NPI 1851352058
  Medicare reassignment Care Compare group NPD Authorized official
• Victoria Elizabeth McManus, FNP-C

  • Family Nurse Practitioner
  • Johnson City, NY
  • NPI 1063025724
  Medicare reassignment Care Compare group NPD
• Nicole A Rouhana, FNP

  • Family Nurse Practitioner
  • Vestal, NY
  • NPI 1295833598
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1669615605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HARRY L DR",
            "address_2": "SUITE 110",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901471",
            "telephone_number": "607-729-5805",
            "fax_number": "607-729-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HARRY L DR",
            "address_2": "SUITE 110",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901471",
            "telephone_number": "607-729-5805",
            "fax_number": "607-729-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BINGHAMTON OBSTETRICS AND GYNECOLOGY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "LEUCI",
        "authorized_official_first_name": "DOMENICO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-727-5805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "232736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Gopaul
• Cynthia R. Gorgos, PTA
• Arina Gorskaya, MD
• Payam Goudarzi, DDS
• Galen Graham, MD
• Ellyn Diane Green, LMSW
• Robin Greenblott, RPH
• Kaitlyn M Greenfield
• Charlene Marie Greer, NP
• David Abraham Gregory, LCSW

• Obstetrics & Gynecology Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.