Organization Active NPI

Integrative Gynecology of New York P.C.

  • Gynecology Physician
  • Rye Brook, NY
National Provider Identifier
1679931422
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
258128 Issued in NY
Legal business name
INTEGRATIVE GYNECOLOGY OF NEW YORK P.C.
Practice address
14 Rye Ridge PLZ
Suite 234
Rye Brook, NY 10573-2826
Phone
(914) 305-3827
Fax
(914) 935-9047
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. Hye Eun Kwon, M.DNPI 1790968824
Title
Owner
Phone
(203) 641-0758

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 258128 NY Primary

Addresses

Primary practice location

14 Rye Ridge PLZ
Suite 234
Rye Brook, NY 10573-2826

Mailing address

14 Rye Ridge PLZ
Suite 234
Rye Brook, NY 10573-2826
Phone (914) 305-3827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160913001229 NY Part B Supplier - Clinic/Group Practice 3072809342 Receives reassigned benefits from 1 practitioner
Practice locations: Rye Brook, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1679931422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "SUITE 234",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-305-3827",
            "fax_number": "914-935-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "SUITE 234",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-305-3827",
            "fax_number": "914-935-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE GYNECOLOGY OF NEW YORK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HYE EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-641-0758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "258128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.