Active NPI
Greater New York Fertility PC
- Gynecology Physician
- Sunnyside, NY
National Provider Identifier
1962770156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 162235
- Legal business name
- GREATER NEW YORK FERTILITY PC
- Practice address
- 4601 Greenpoint Ave
Suite 2D
Sunnyside, NY 11104-1707 - Phone
- (212) 362-4848
- Fax
- (646) 596-8667
- NPI assigned
- Dec 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent T. Brandeis, M.D.
- Title
- Sole Incorporator/President
- Phone
- (646) 245-5358
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 162235 | NY | |
| Gynecology Physician | 207VG0400X | 162235 | NY | Primary |
Addresses
Primary practice location
4601 Greenpoint Ave
Suite 2D
Sunnyside, NY 11104-1707
Mailing address
PO Box 204
Planetarium Station
New York, NY 10024-0204
Phone (646) 245-5358
National Provider Directory
National Provider DirectoryLocations
10810 72nd Ave
Ste 4
Forest Hills, NY 11375
Phone (718) 261-1471
4602 Queens Blvd
Sunnyside, NY 11104
Phone (212) 362-4848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371081600000",
"number": "1962770156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204",
"address_2": "PLANETARIUM STATION",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100240204",
"telephone_number": "646-245-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 GREENPOINT AVE",
"address_2": "SUITE 2D",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111041707",
"telephone_number": "212-362-4848",
"fax_number": "646-596-8667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER NEW YORK FERTILITY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-02",
"last_updated": "2013-06-13",
"status": "A",
"authorized_official_last_name": "BRANDEIS",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "SOLE INCORPORATOR/PRESIDENT",
"authorized_official_telephone_number": "646-245-5358",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": "162235",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "162235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.