Dr Aaron David and Dr Larissa Fomitcheva OB/GYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DR AARON DAVID AND DR LARISSA FOMITCHEVA OB/GYN PLLC

Practice address

980 N Broadway
Massapequa, NY 11758-2355

Phone

(516) 795-2890

Fax

(516) 795-7450

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Seth Malamut

Title

Manager

Phone

(516) 336-4030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moshe Dekel, MD

  • Gynecology Physician
  • Oceanside, NY
  • NPI 1588717136
  NPD (past)
• Herman Weiss, M.D

  • Obstetrics & Gynecology Physician
  • Massapequa, NY
  • NPI 1164586442
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1891112520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582355",
            "telephone_number": "516-795-2890",
            "fax_number": "516-795-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582355",
            "telephone_number": "516-795-2890",
            "fax_number": "516-795-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AARON DAVID AND DR LARISSA FOMITCHEVA OB/GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "MALAMUT",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-336-4030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00904178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Douyon
• Ollon Edcarl Downing
• Erika Doyle
• Janet Doyle
• Dr Aaron David and Dr Herman Weiss OB GYN PLLC
• Dr Robert S Greenberg DDS PC
• Dr. Roger M.Giuliani D.D.S.P.C (Sunrise Dental Associates)
• Paul Dritto, R.T.T.
• DRS Blau, Tiger, Sullivan, Sumner
• Linda Duemig, LMHC-D

• Obstetrics & Gynecology Physician in Massapequa, NY
• Providers in Massapequa, 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 Mar 19, 2014; 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.