NPIMap

Organization Active NPI

Cortland OBGYN Associates Inc

  • Obstetrics & Gynecology Physician
  • Warren, OH
National Provider Identifier
1861587321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-06-8800-A Issued in OH
Legal business name
CORTLAND OBGYN ASSOCIATES INC
Practice address
200 Garfield Dr
Suite a
Warren, OH 44483
Phone
(330) 372-1828
Fax
(330) 372-2659
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amine Rustom Abdul-Aal, M.D.
Title
President
Phone
(330) 372-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 35-06-8800-A OH Primary

Addresses

Primary practice location

200 Garfield Dr
Suite a
Warren, OH 44483

Mailing address

200 Garfield Dr NE
Suite a
Warren, OH 44483-5557
Phone (330) 372-1828

Other identifiers 1

IdentifierTypeStateIssuer
0155273MedicaidOH

Other names 1

  • Amine R. Abdul-Aal M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

550 Trumbull Ave
Cortland, OH 44410
Phone (330) 637-2000

200 Garfield Dr NE
Ste A
Warren, OH 44483
Phone (330) 372-1828

Practitioners & affiliated clinicians

Practitioners 7

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861587321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GARFIELD DR NE",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444835557",
            "telephone_number": "330-372-1828",
            "fax_number": "330-372-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GARFIELD DR",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44483",
            "telephone_number": "330-372-1828",
            "fax_number": "330-372-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND OBGYN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDUL-AAL",
        "authorized_official_first_name": "AMINE",
        "authorized_official_middle_name": "RUSTOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-372-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-06-8800-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amine R. Abdul-Aal M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • 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.