Individual provider Active NPI

Aimee M. Seungdamrong, M.D.

  • Reproductive Endocrinology Physician
  • New York, NY
National Provider Identifier
1952431355
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
25MA07746200 Issued in NJ
Practice address
102 5TH Ave
New York, NY 10011-6902
Phone
(347) 778-2542
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X D98319 MD
Reproductive Endocrinology Physician 207VE0102X 240672 NY
Reproductive Endocrinology Physician 207VE0102X 25MA07746200 NJ Primary

Addresses

Primary practice location

102 5TH Ave
New York, NY 10011-6902

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

6000 Executive Blvd Ste 500
North Bethesda, MD 20852-3858
Phone (301) 363-0226

Other practice location 2

16 Chambers St
Princeton, NJ 08542-3708
Phone (609) 632-1581

Other practice location 3

16 E 40th St Fl 2
New York, NY 10016-0113
Phone (646) 751-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D98319MDMDReproductive Endocrinology Physician
25MA07746200NJMDReproductive Endocrinology Physician
240672NYMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Empire Medical Practice, PC Past Accepting new patients
Garden State Medical Practice, PC Reproductive Endocrinology PastSince Feb 23, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aimee.seungdamrong@direct.hobokenumc.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1952431355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116902",
            "telephone_number": "347-778-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Executive Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523858",
            "country_code": "US",
            "telephone_number": "301-363-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Chambers St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085423708",
            "country_code": "US",
            "telephone_number": "609-632-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 E 40th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160113",
            "country_code": "US",
            "telephone_number": "646-751-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEUNGDAMRONG",
        "first_name": "AIMEE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D98319",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "240672",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MA07746200",
            "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 May 21, 2024; 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.