Organization Active NPI

Gentle Care OB/GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Lynbrook, NY
National Provider Identifier
1881795128
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
218864 Issued in NY
Legal business name
GENTLE CARE OB/GYN, P.C.
Practice address
130 Merrick Rd
Lynbrook, NY 11563-2740
Phone
(516) 596-7600
Fax
(516) 590-7601
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Jahanshah Seraji, M.D.
Title
President
Phone
(516) 596-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 218864 NY Primary

Addresses

Primary practice location

130 Merrick Rd
Lynbrook, NY 11563-2740

Mailing address

130 Merrick Rd
Lynbrook, NY 11563-2740
Phone (516) 596-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070228000621 NY Part B Supplier - Clinic/Group Practice 0042312647 Receives reassigned benefits from 1 practitioner
Practice locations: Lynbrook, NY

National Provider Directory

National Provider Directory

Locations

130 Merrick Rd
Lynbrook, NY 11563
Phone (516) 568-1763

Practitioners & affiliated clinicians

Practitioners 3

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1881795128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632740",
            "telephone_number": "516-596-7600",
            "fax_number": "516-590-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632740",
            "telephone_number": "516-596-7600",
            "fax_number": "516-590-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE OB/GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SERAJI",
        "authorized_official_first_name": "JAHANSHAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-596-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "218864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.