Organization Active NPI

Theo E. Obrig, Inc.

  • Non-Pharmacy Dispensing Site
  • New York, NY
National Provider Identifier
1912184524
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
C003271-1 Issued in NY
Legal business name
THEO E. OBRIG, INC.
Practice address
209 E 56TH St
Lower Level
New York, NY 10022-3705
Phone
(212) 758-0973
Fax
(212) 980-8452
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Mrs. Susan E. Mazure
Title
President
Phone
(212) 758-0973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X C003271-1 NY Primary

Addresses

Primary practice location

209 E 56TH St
Lower Level
New York, NY 10022-3705

Mailing address

209 E 56TH St
Lower Level
New York, NY 10022-3705
Phone (212) 758-0973

National Provider Directory

National Provider Directory

Locations

209 E 56th St
Lowr
New York, NY 10022
Phone (212) 758-0973

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1912184524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E 56TH ST",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223705",
            "telephone_number": "212-758-0973",
            "fax_number": "212-980-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E 56TH ST",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223705",
            "telephone_number": "212-758-0973",
            "fax_number": "212-980-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEO E. OBRIG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "MAZURE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-758-0973",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NY",
            "license": "C003271-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.