Glencove OBGYN Associates

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

113417 Issued in NY

Legal business name

GLENCOVE OBGYN ASSOCIATES

Practice address

50 School St
Suite 2
Glen Cove, NY 11542-2534

Phone

(516) 671-5197

Fax

(516) 671-5231

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. George Thurman Fulmer Jr., M.D.

Title

Physcian

Phone

(516) 671-5197

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leida Adalgisa Medina, M.D.

  • Obstetrics & Gynecology Physician
  • Glen Cove, NY
  • NPI 1306051859
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1881843639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SCHOOL ST",
            "address_2": "SUITE 2",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422534",
            "telephone_number": "516-671-5197",
            "fax_number": "516-671-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SCHOOL ST",
            "address_2": "SUITE 2",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422534",
            "telephone_number": "516-671-5197",
            "fax_number": "516-671-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCOVE OBGYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "THURMAN",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "516-671-5197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "113417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Cove Pharm LLC
• Glen Cove Physical Medicine, PC
• Glen Cove Physical Therapy, P.C.
• Glen Head Chiropractic & Physical Therapy, PLLC
• Glen Medical Health, PC
• Glengariff Corporation
• Glengariff Dialysis Center LLC
• Glengariff Operating LLC
• Florin Vasile Glodan, MD
• Mary E Gola Perez, PA

• Obstetrics & Gynecology Physician in Glen Cove, NY
• Providers in Glen Cove, 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 Sep 17, 2008; 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.