NPIMap

Organization Active NPI

Oakdale Medical Services

  • Obstetrics & Gynecology Physician
  • Oakdale, NY
National Provider Identifier
1891998373
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OAKDALE MEDICAL SERVICES
Practice address
971 Montauk Hwy
Oakdale, NY 11769-1434
Phone
(631) 675-4149
NPI assigned
Jun 11, 2007
Organization subpart
Yes
Parent organization
SOUTHSIDE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Ms. Winifred B. Mack
Title
Executive Director
Phone
(631) 968-3000

Specialties & licenses 1

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

Addresses

Primary practice location

971 Montauk Hwy
Oakdale, NY 11769-1434

Mailing address

971 Montauk Hwy
Oakdale, NY 11769-1434
Phone (631) 675-4149

National Provider Directory

National Provider Directory
Tax ID family
Southside Hospital HHA5 organizations share this tax ID, including this one
Part of
Southside Hospital HHA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1891998373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691434",
            "telephone_number": "631-675-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691434",
            "telephone_number": "631-675-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHSIDE HOSPITAL",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-968-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.