Organization Active NPI

Mid Valley Comprehensive OBGYN, PC

  • Obstetrics & Gynecology Physician
  • New Paltz, NY
National Provider Identifier
1942334719
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
196507 Issued in NY
Legal business name
MID VALLEY COMPREHENSIVE OBGYN, PC
Practice address
28 N Front St
New Paltz, NY 12561-1410
Phone
(877) 844-3311
Fax
(845) 247-0822
NPI assigned
Mar 15, 2007
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mrs. Elaine P Crosby, MDNPI 1770548174
Title
President
Phone
(877) 844-3311

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 Physician 207V00000X 196507 NY Primary

Addresses

Primary practice location

28 N Front St
New Paltz, NY 12561-1410

Mailing address

PO Box 8084
Kingston, NY 12402-8084
Phone (877) 844-3311

Other identifiers 2

IdentifierTypeStateIssuer
01723904MedicaidNY
1770548174OtherNYNPI

National Provider Directory

National Provider Directory
Tax ID family
Mid Valley Comprehensive OBGYN PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1942334719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8084",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124028084",
            "telephone_number": "877-844-3311",
            "fax_number": "845-247-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N FRONT ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611410",
            "telephone_number": "877-844-3311",
            "fax_number": "845-247-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY COMPREHENSIVE OBGYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-844-3311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "196507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01723904",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770548174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

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