NPIMap

Organization Active NPI

Comprehensive Women's Health of N.Y. PLLC

  • Obstetrics & Gynecology Physician
  • Glendale, NY
National Provider Identifier
1982736047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
234430 Issued in NY
Legal business name
COMPREHENSIVE WOMEN'S HEALTH OF N.Y. PLLC
Practice address
6805 Myrtle Ave
Glendale, NY 11385-7267
Phone
(718) 366-2242
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Petr Itzhak, D.O.NPI 1801843412
Title
Presedent
Phone
(717) 366-2242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 234430 NY Primary

Addresses

Primary practice location

6805 Myrtle Ave
Glendale, NY 11385-7267

Mailing address

8344 Lefferts Blvd Apt 4R
Kew Gardens, NY 11415-2583

National Provider Directory

National Provider Directory

Locations

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982736047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 LEFFERTS BLVD APT 4R",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857267",
            "telephone_number": "718-366-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WOMEN'S HEALTH OF N.Y. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ITZHAK",
        "authorized_official_first_name": "PETR",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "717-366-2242",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "234430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.