Stockholm Obstetrics & Gynecological Services, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC

Practice address

1419 Myrtle Ave
Wyckoff Doctors
Brooklyn, NY 11237-4512

Phone

(718) 783-0934

Fax

(718) 857-0162

NPI assigned

Dec 8, 2015

Last updated

Jun 14, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PCAs reported in NPPES

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

Authorized official

Name

Frank Vutrano

Title

Chief Financial Officer

Phone

(718) 963-6702

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Stockholm Obst Gynec4 organizations share this tax ID, including this one

Part of

Stockholm Obst Gynec

Other organizations with this tax ID 3

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

• Stockholm OB/GYN Services, PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1225449507
  NPD tax ID
• Stockholm Obstetrics & Gynecological Services, PC

  • Clinic/Center
  • Middle Village, NY
  • NPI 1902265010
  NPD tax ID
• Women's Health Center Ext Clinic

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1528481348
  NPD tax ID

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1932574563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM STREET",
            "address_2": "WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-963-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 MYRTLE AVE",
            "address_2": "WYCKOFF DOCTORS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374512",
            "telephone_number": "718-783-0934",
            "fax_number": "718-857-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "VUTRANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-963-6702"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03299956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Stockdale
• Kelsey Stocker, A-GNP-C
• Jonathan Stockford, ED. M, MA
• Stockholm OB/GYN Services, PC
• Stockholm Obstetrics & Gynecological Services, P.C.
• Elizabeth Jane Stockwell, LCSW
• Jenna Stoep, M.A., CCC-SLP
• Hope Dawn Stogel, MS.CCC.SLP
• Natalia Stogova
• Julie Renee Stohr

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.