Island Reproductive Services, PC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

187839 Issued in NY

Legal business name

ISLAND REPRODUCTIVE SERVICES, PC

Practice address

237 Richmond Valley Rd
Staten Island, NY 10309-2622

Phone

(718) 948-6100

Fax

(718) 948-6114

NPI assigned

Jan 12, 2007

Last updated

Mar 16, 2016By 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

Eric S Knochenhauer, MDNPI 1295749430

Title

MD/Owner

Phone

(718) 948-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Island Reproductive Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Island Reproductive Services

  • Reproductive Endocrinology Physician
  • Pomona, NY
  • NPI 1306934161
  NPD tax ID

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.

• Eric S Knochenhauer, MD

  • Reproductive Endocrinology Physician
  • Staten Island, NY
  • NPI 1295749430

  NJ

  Medicare reassignment Authorized official
• Michael L Traub, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1366513749

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1912057761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 RICHMOND VALLEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092622",
            "telephone_number": "718-948-6100",
            "fax_number": "718-948-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 RICHMOND VALLEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092622",
            "telephone_number": "718-948-6100",
            "fax_number": "718-948-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND REPRODUCTIVE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "KNOCHENHAUER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "718-948-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "187839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02139540",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Island Sleep Solutions
• Island South Chiropractic PC
• Island Wide Respiratory, Inc.
• Ismaeel Pharmacy Inc (Brighton Community Pharmacy)
• Wuraola Ismaila

• Reproductive Endocrinology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Reproductive Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.