Organization Active NPI

SGR Medical Doctor P.C.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1992296677
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SGR MEDICAL DOCTOR P.C.
Practice address
395 Fort Washington Ave
Suite 6
New York, NY 10033-6728
Phone
(212) 928-1400
Fax
(212) 923-5595
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Xiomara M Santos, M.D
Title
Phycology
Phone
(212) 928-1400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

395 Fort Washington Ave
Suite 6
New York, NY 10033-6728

Mailing address

395 Fort Washington Ave
Suite 6
New York, NY 10033-6728
Phone (212) 928-1400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1992296677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 FORT WASHINGTON AVE",
            "address_2": "SUITE 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336728",
            "telephone_number": "212-928-1400",
            "fax_number": "212-923-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 FORT WASHINGTON AVE",
            "address_2": "SUITE 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336728",
            "telephone_number": "212-928-1400",
            "fax_number": "212-923-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGR MEDICAL DOCTOR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "XIOMARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYCOLOGY",
        "authorized_official_telephone_number": "212-928-1400",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.