Organization Active NPI

Well Care OB & GYN PC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1801217419
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
272401 Issued in NY
Legal business name
WELL CARE OB & GYN PC
Practice address
303 2ND Ave
Suite 9
New York, NY 10003-2739
Phone
(212) 777-3920
NPI assigned
Dec 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Dr. Ruchi Agarwal, MDNPI 1720255813
Title
President
Phone
(347) 439-8981

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 272401 NY Primary

Addresses

Primary practice location

303 2ND Ave
Suite 9
New York, NY 10003-2739

Mailing address

18 Sylvia Ave
Ardsley, NY 10502-1109
Phone (347) 439-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327001336 NY Part B Supplier - Clinic/Group Practice 7113158569 Receives reassigned benefits from 1 practitioner
Practice locations: Yonkers, NY; Bronx, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

305 2nd Ave
Ste 9
New York, NY 10003
Phone (212) 777-4300

Practitioners & affiliated clinicians

Practitioners 5

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": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1801217419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYLVIA AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021109",
            "telephone_number": "347-439-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 2ND AVE",
            "address_2": "SUITE 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032739",
            "telephone_number": "212-777-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE OB & GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "RUCHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-439-8981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "272401",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 27, 2013; 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.