St. Nicholas OB/GYN Associates, P.C.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

123612 Issued in NY

Legal business name

ST. NICHOLAS OB/GYN ASSOCIATES, P.C.

Practice address

220A Saint Nicholas Ave
Brooklyn, NY 11237-4807

Phone

(718) 418-8745

Fax

(718) 418-8725

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By 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

Dr. Prasanta Chandra, M.D.

Title

President

Phone

(718) 418-8745

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1750519039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220A SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374807",
            "telephone_number": "718-418-8745",
            "fax_number": "718-418-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220A SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374807",
            "telephone_number": "718-418-8745",
            "fax_number": "718-418-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. NICHOLAS OB/GYN ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "PRASANTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-418-8745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005610",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "192258",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "205630",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "123612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Mary's Hospital
• St. Mary's Hospital for Children
• St. Nicholas Gastroenterology P C
• St. Nicholas Human Support Corporation
• St. Nicholas Medical PC
• St. Nicks Alliance Corp
• St. Nicks Alliance Home Care Corp.
• Jade Tyanna Lilly St. Paul, M.D.
• Lydia St. Paul
• Simone St. Paul

• Maternal & Fetal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Maternal & Fetal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.