Organization Active NPI

Gynecology and Integrative Women'S Care

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1699239251
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
GYNECOLOGY AND INTEGRATIVE WOMEN'S CARE
Practice address
30 E 23Rd St FL 7
New York, NY 10010-4440
Phone
(847) 606-9678
Fax
(212) 202-6005
NPI assigned
Jan 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Mrs. Stephanie McClellan, MD
Title
Director
Phone
(949) 933-6827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

30 E 23Rd St FL 7
New York, NY 10010-4440

Mailing address

114 E 25TH St
New York, NY 10010-2914
Phone (847) 606-9678

Other identifiers 3

IdentifierTypeStateIssuer
1679523914OtherNPI-1
04026880MedicaidNY
1760870869OtherNPI-1

National Provider Directory

National Provider Directory

Locations

30 E 23rd St
Fl 7
New York, NY 10010
Phone (332) 203-0933

114 E 25th St
New York, NY 10010

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1699239251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102914",
            "telephone_number": "847-606-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 23RD ST FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104440",
            "telephone_number": "847-606-9678",
            "fax_number": "212-202-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY AND INTEGRATIVE WOMEN'S CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-933-6827",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1679523914",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04026880",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1760870869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.