Organization Active NPI

Stockholm Obstetrics & Gynecological Services, PC

  • Clinic/Center
  • Middle Village, NY
National Provider Identifier
1902265010
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC
Practice address
75-54 Metropolitan Avenue
Family Health Center of Middle Village
Middle Village, NY 11378
Phone
(718) 894-4200
NPI assigned
Feb 17, 2016
Organization subpart
Yes
Parent organization
STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Frank Vutrano
Title
Chief Financial Officer
Phone
(718) 963-6702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

75-54 Metropolitan Avenue
Family Health Center of Middle Village
Middle Village, NY 11378

Mailing address

374 Stockholm Street
Wyckoff Heights Medical Center - Faculty Practice
Brooklyn, NY 11237
Phone (718) 963-7272

National Provider Directory

National Provider Directory
Tax ID family
Hitendra Hansalia4 organizations share this tax ID, including this one
Part of
Hitendra Hansalia

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1902265010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM STREET",
            "address_2": "WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-963-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-54 METROPOLITAN AVENUE",
            "address_2": "FAMILY HEALTH CENTER OF MIDDLE VILLAGE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "11378",
            "telephone_number": "718-894-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "VUTRANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-963-6702"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.