Joseph Iwanicki M.D. P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

157144 Issued in NY

Legal business name

JOSEPH IWANICKI M.D. P.C.

Practice address

2187 Ocean Avenue
Brooklyn, NY 11229-2303

Phone

(718) 627-6111

Fax

(718) 645-5184

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Iwanicki, M.D.

Title

OB/GYN

Phone

(718) 627-6111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1669726733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-627-6111",
            "fax_number": "718-645-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-627-6111",
            "fax_number": "718-645-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH IWANICKI M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "IWANICKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "718-627-6111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "157144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 29, 2012; 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.