Organization Active NPI

Jba Women'S Medical PC

  • Obstetrics & Gynecology Physician
  • Mount Vernon, NY
National Provider Identifier
1972882850
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
230893 Issued in NY
Legal business name
JBA WOMEN'S MEDICAL PC
Practice address
129 Urban St
Mount Vernon, NY 10552-3211
Phone
(914) 699-2659
Fax
(914) 699-2659
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Jonelle M Bingham, M.D.
Title
Medical Director/Ceo
Phone
(914) 699-2659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 230893 NY Primary

Addresses

Primary practice location

129 Urban St
Mount Vernon, NY 10552-3211

Mailing address

129 Urban St
Mount Vernon, NY 10552-3211
Phone (914) 699-2659

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1972882850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 URBAN ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523211",
            "telephone_number": "914-699-2659",
            "fax_number": "914-699-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 URBAN ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523211",
            "telephone_number": "914-699-2659",
            "fax_number": "914-699-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBA WOMEN'S MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "JONELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "914-699-2659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "230893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.