Organization Active NPI

Long Island Women'S Health Care Group, PC

  • Obstetrics & Gynecology Physician
  • Mineola, NY
National Provider Identifier
1801077193
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1248511 Issued in NY
Legal business name
LONG ISLAND WOMEN'S HEALTH CARE GROUP, PC
Practice address
173 Mineola Blvd
Suite 200-202
Mineola, NY 11501-2528
Phone
(516) 741-4321
Fax
(516) 535-1332
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Gary Morton Levine, MDNPI 1902977796
Title
President
Phone
(516) 741-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 1248511 NY Primary

Addresses

Primary practice location

173 Mineola Blvd
Suite 200-202
Mineola, NY 11501-2528

Mailing address

173 Mineola Blvd
Suite 200-202
Mineola, NY 11501-2528
Phone (516) 741-4321

Other identifiers 5

IdentifierTypeStateIssuer
1255418786OtherNYNPI
1740486372OtherNYNPI
1821249574OtherNYNPI
1902977796OtherNYNPI
1780753830OtherNYNPI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0865147Long Island Womens Health Care Group173 Mineola Boulevard, Suite 200, Mineola, NY 11501AccreditationNov 10, 2026

National Provider Directory

National Provider Directory

Locations

173 Mineola Blvd
Ste 200202
Mineola, NY 11501
Phone (516) 741-4321

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1801077193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "SUITE 200-202",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012528",
            "telephone_number": "516-741-4321",
            "fax_number": "516-535-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "SUITE 200-202",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012528",
            "telephone_number": "516-741-4321",
            "fax_number": "516-535-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND WOMEN'S HEALTH CARE GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MORTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-741-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "1248511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255418786",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740486372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821249574",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902977796",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780753830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.