Organization Active NPI

Gun Hill Medical Pavilion for Women, PC

  • Obstetrics & Gynecology Physician
  • Bronx, NY
National Provider Identifier
1831482546
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
145497-1 Issued in NY
Legal business name
GUN HILL MEDICAL PAVILION FOR WOMEN, PC
Practice address
1309 E Gun Hill Rd
Bronx, NY 10469-3003
Phone
(718) 231-7900
Fax
(718) 231-4474
NPI assigned
May 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. Frederick Clare, MDNPI 1932298510
Title
Ceo
Phone
(718) 231-7900

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 145497-1 NY Primary

Addresses

Primary practice location

1309 E Gun Hill Rd
Bronx, NY 10469-3003

Mailing address

1309 E Gun Hill Rd
Bronx, NY 10469-3003
Phone (718) 231-7900

National Provider Directory

National Provider Directory

Locations

1309 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 221-7900

Practitioners & affiliated clinicians

Practitioners 2

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": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1831482546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693003",
            "telephone_number": "718-231-7900",
            "fax_number": "718-231-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693003",
            "telephone_number": "718-231-7900",
            "fax_number": "718-231-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUN HILL MEDICAL PAVILION FOR WOMEN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "CLARE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-231-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "145497-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.