Organization Active NPI

Ephraim M Ovitsh MD PC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1922093814
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
EPHRAIM M OVITSH MD PC
Practice address
200 W 20TH St
Suite 105
New York, NY 10011-3558
Phone
(212) 647-8560
Fax
(212) 647-8583
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Ephraim M Ovitsh, MD
Title
Owner
Phone
(212) 647-8560

Specialties & licenses 1

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

Addresses

Primary practice location

200 W 20TH St
Suite 105
New York, NY 10011-3558

Mailing address

1000 E 22ND St
Brooklyn, NY 11210-3610
Phone (212) 647-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110001115 NY Part B Supplier - Clinic/Group Practice 7315995966 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

200 W 20th St
Apt 105
New York, NY 10011
Phone (212) 647-8560

314 W 14th St
#4
New York, NY 10014
Phone (212) 206-1610

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1922093814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103610",
            "telephone_number": "212-647-8560",
            "fax_number": "212-647-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 20TH ST",
            "address_2": "SUITE 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113558",
            "telephone_number": "212-647-8560",
            "fax_number": "212-647-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM M OVITSH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "OVITSH",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-647-8560",
        "authorized_official_credential": "MD"
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.