Central Park Medical Practice, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

245082 Issued in NY

Legal business name

CENTRAL PARK MEDICAL PRACTICE, PC

Practice address

280 Kennedy Blvd
Bayonne, NJ 07002-1234

Phone

(464) 391-3414

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Shahnoz Rustamova, MDNPI 1629112149

Title

President

Phone

(646) 391-3414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Central Park Medical Practice2 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.

• Central Park Medical Practice

  • Specialist
  • New York, NY
  • NPI 1396901468
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahnoz Rustamova

  • Obstetrics Physician
  • New York, NY
  • NPI 1629112149
  Medicare reassignment Authorized official
• Ruth Steinberg, M.D.

  • Specialist
  • New York, NY
  • NPI 1942214390
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1972771855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021234",
            "telephone_number": "464-391-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021234",
            "telephone_number": "464-391-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "RUSTAMOVA",
        "authorized_official_first_name": "SHAHNOZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-391-3414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "245082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Cecchini
• Center for Pain Relief, LLC
• Center for Womens Health LLC
• Central Park
• Central Park Diagnostic Inc
• David Calvin Cephus, LMSW
• David Cha
• Vikash Reddy Chadive
• Priti Chandiwala-Mody, D.O.
• Charles M. Cummins, OD, PA

• Obstetrics & Gynecology Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.