POMONA OB GYN PC (NPI# 1831451244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831451244 |
Entity Type | Organization |
Organization Name | POMONA OB GYN PC |
Practice Address |
26 Firemens Memorial Dr Suite 120b Pomona NY 10970-3553 |
Practice Telephone | 8453625900 |
Mailing Telephone | 8453625900 |
Enumeration Date | 2012-06-12 |
Last Update Date | 2012-06-12 |
Authorized Official Name | DR. JUDITH STAVIS (PRESIDENT) |
Authorized Official Telephone | 8453625900 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
Street Address |
26 FIREMENS MEMORIAL DR SUITE 120B |
City | POMONA |
State | NY |
Zip Code | 10970-3553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801875844 | Deborah Occhiogrosso | Nurse Practitioner | 26 Firemens Memorial Dr, Suite 215, Pomona, NY 10970-3553 | 2006-01-10 |
1487007571 | Brian Lee Fitzpatrick | Internal Medicine | 26 Firemens Memorial Dr, Pomona, NY 10970-3553 | 2016-07-13 |
1457778391 | Christine Miller | Physical Therapist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2014-03-27 |
1194147504 | Ethan Burger | Physical Therapist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2014-01-21 |
1518231463 | Jill M Fetell | Family Medicine | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2012-02-23 |
1902103534 | Amazing Acupuncture,llc | Acupuncturist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2011-02-17 |
1750432787 | Maya Gluck-shats | Internal Medicine | 26 Firemens Memorial Dr, Ste 215, Pomona, NY 10970-3553 | 2007-01-16 |
1144318981 | Comprehensive Obstetrics & Gynecology P C | Obstetrics & Gynecology | 26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553 | 2006-10-10 |
1417979717 | Stephen M Koretsky | Psychologist | 26 Firemens Memorial Dr, Suite 113, Pomona, NY 10970-3553 | 2006-07-24 |
1598791568 | Judith Stavis | Obstetrics & Gynecology | 26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553 | 2006-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801429857 | Adina Meira Shapiro | Occupational Therapist | 7 Gessner Terrace, Pomona, NY 10970 | 2020-02-18 |
1619339363 | Summit Park At Friedwald Care, LLC | Skilled Nursing Facility | 50 Sanitorium Rd, Bldg A, 3rd Floor, Pomona, NY 10970 | 2016-03-22 |
1215351093 | Nicole Lupo | Licensed Practical Nurse | 4 Leadore Lane, Pomona, NY 10970 | 2014-02-13 |
1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
1366794323 | Shanice John | Counselor | 1 Marcia Ln, Pomona, NY 10970 | 2012-10-15 |
1023364817 | Eleanor Chalew Joseph | Registered Nurse | 50 Sanatorium Road Bldg. D, Robert L. Yeager Health Center, Pomona, NY 10970 | 2012-07-30 |
1689942153 | Kewanna D Frazier | Occupational Therapy Assistant | 229 Route 202, Apt. 3h, Pomona, NY 10970 | 2011-12-12 |
1134419823 | Carlos G. Lobo | Pediatrics | 27 S Camphill Road, Pomona, NY 10970 | 2011-04-14 |
1679804884 | Betina Turnier | Registered Nurse | 2 Valley Viw Court, Pomona, NY 10970 | 2010-01-28 |
1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
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Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477508737 | Francis Mcgill | Obstetrics & Gynecology | 26 Firemens Memorial Drive Ste 115, Pomona, NY 10970-0460 | 2006-05-24 |
1871652859 | Robert S Lee | Obstetrics & Gynecology | 920 N Garey Ave, Pomona, CA 91767-4618 | 2006-12-06 |
1922053966 | Stuart Miro | Obstetrics & Gynecology | 26 Firemans Memorial Dr, Pomona, NY 10970-3553 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598370975 | Legacy Gynecology Pllc | Obstetrics & Gynecology | 136 Maple Rd, Amherst, NY 14221-2922 | 2020-09-11 |
1700494143 | Neighborhood Family Medicine | Obstetrics & Gynecology | 50 Front St, Binghamton, NY 13905-4708 | 2020-07-22 |
1467070029 | Electra Health Medical PC | Obstetrics & Gynecology | 335 Madison Ave Fl 3, New York, NY 10017-4616 | 2020-07-10 |
1164048021 | Park East Medical Pllc | Obstetrics & Gynecology | 870 5th Ave Apt 1b, New York, NY 10065-4907 | 2020-06-17 |
1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
1861955858 | New H Medical, P.C. | Obstetrics & Gynecology | 1150 Park Ave Ste 1a, New York, NY 10128-1244 | 2019-04-08 |
1851857379 | Broadway Gyn Office, P.c | Obstetrics & Gynecology | 4915 Broadway # 1-k, New York, NY 10034-3119 | 2019-02-20 |
1841755063 | Elizabeth Anne Mancuso | Obstetrics & Gynecology | 3 E 69th St, New York, NY 10021-5249 | 2019-02-01 |
1699239251 | Gynecology and Integrative Women's Care | Obstetrics & Gynecology | 30 E 23rd St Fl 7, New York, NY 10010-4440 | 2019-01-29 |
1699248542 | Great Wall Medical, P.C. | Obstetrics & Gynecology | 201e 28th Street, Suite #1b, New York, NY 10016 | 2019-01-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.