Organization Active NPI

Greater New York Fertility PC

  • Gynecology Physician
  • Sunnyside, NY
National Provider Identifier
1962770156
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
162235 Issued in NY
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

Updated by the provider on Jun 13, 2013

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)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X 162235 NY
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.