Active NPI
Gynecology and Integrative Women'S Care
- Gynecology Physician
- New York, NY
National Provider Identifier
1699239251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679523914 | Other | NPI-1 | |
| 04026880 | Medicaid | NY | |
| 1760870869 | Other | NPI-1 |
National Provider Directory
National Provider DirectoryLocations
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.