Mid Island GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

131615 Issued in NY

Legal business name

MID ISLAND GYN

Practice address

4212 Hempstead Tpke
Bethpage, NY 11714-5723

Phone

(516) 513-1184

Fax

(516) 513-1187

NPI assigned

Oct 2, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judi Aurigemma

Title

Office Manager

Phone

(516) 513-1184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1720275977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145723",
            "telephone_number": "516-513-1184",
            "fax_number": "516-513-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145723",
            "telephone_number": "516-513-1184",
            "fax_number": "516-513-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ISLAND GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "AURIGEMMA",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-513-1184"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "131615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Bethpage, NY
• Providers in Bethpage, 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 Dec 7, 2007; 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.