Organization Active NPI

OB/GYN Associates of Central New York, P.C.

  • Obstetrics & Gynecology Physician
  • Utica, NY
National Provider Identifier
1932266475
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB/GYN ASSOCIATES OF CENTRAL NEW YORK, P.C.
Practice address
3 Parkside CT
Utica, NY 13501-5643
Phone
(315) 724-6787
Fax
(315) 735-6624
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Lora L Papandrea, MDNPI 1235122532
Title
President
Phone
(315) 724-6787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3 Parkside CT
Utica, NY 13501-5643

Mailing address

3 Parkside CT
Utica, NY 13501-5643
Phone (315) 724-6787

Other identifiers 1

IdentifierTypeStateIssuer
01859549MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000229 NY Part B Supplier - Clinic/Group Practice 8527038702 Receives reassigned benefits from 5 practitioners
Practice locations: Utica, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0167292OB/GYN Associates of Central New York, PC3 Parkside Court, Utica, NY 13501Provider-performed microscopyAug 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1932266475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKSIDE CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015643",
            "telephone_number": "315-724-6787",
            "fax_number": "315-735-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKSIDE CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015643",
            "telephone_number": "315-724-6787",
            "fax_number": "315-735-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN ASSOCIATES OF CENTRAL NEW YORK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "PAPANDREA",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-724-6787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01859549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.