Williamsburg OB GYN PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

235252 Issued in NY

Legal business name

WILLIAMSBURG OB GYN PC

Practice address

6620 Fresh Pond Rd
Ridgewood, NY 11385-3314

Phone

(718) 381-2240

NPI assigned

May 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie L Gordienko, M.D

Title

Attending

Phone

(212) 427-4111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1932334372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283461",
            "telephone_number": "212-427-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853314",
            "telephone_number": "718-381-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG OB GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "GORDIENKO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ATTENDING",
        "authorized_official_telephone_number": "212-427-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "235252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara J Wells
• Madonna Welsen
• Ronald S Wershba
• WFS Drug Corp.
• Christina Marie Wilkinson, RD
• Ashlyn Rain Wilmot-Rego, MS, RDN
• Ailee Wiscovitch, M.S. ED.SPED
• Amber Withey
• Mark Wolf, RPH
• Rebecca Ann Wolf, OTR/L

• Ambulatory Surgical Clinic/Center in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.