Island Obstetrics and Gynecology

Primary specialty

SpecialistTaxonomy code 174400000X

License

185682 Issued in NY

Legal business name

ISLAND OBSTETRICS AND GYNECOLOGY

Practice address

27 New Dorp LN
Staten Island, NY 10306-2349

Phone

(718) 668-1700

Fax

(718) 668-1733

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Debra J Werner, DONPI 1760577258

Title

Doctor

Phone

(718) 668-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Debra J Werner, MD

  • Gynecology Physician
  • Staten Island, NY
  • NPI 1760577258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1699982793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062349",
            "telephone_number": "718-668-1700",
            "fax_number": "718-668-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062349",
            "telephone_number": "718-668-1700",
            "fax_number": "718-668-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-05-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-668-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "185682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Kids Pediatrics, P.C.
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• Island Nephrology Services, PC
• Island Nurse Practitioner in Family Health, PLLC
• Island Pediatrics, P.C.
• Island Professional Acupuncture PC
• Island Rehab PT OT PLLC
• Island Rehabilitative Services Corp
• Island Rehabilitative Services Corp.

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.