Stone Gate OB GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

197255 Issued in NY

Legal business name

STONE GATE OB GYN

Practice address

16303 Horace Harding Expy Ste 300
Fresh Meadows, NY 11365-1449

Phone

(866) 880-0800

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzzette N Robinson, MD

Title

Physician

Phone

(866) 880-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831219724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 HORACE HARDING EXPY STE 300",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651449",
            "telephone_number": "866-880-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 HORACE HARDING EXPY STE 300",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651449",
            "telephone_number": "866-880-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE GATE OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SUZZETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "866-880-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "197255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Aug 22, 2020; 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.