DR. PAUL OGBURN JR. (NPI# 1992706923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992706923 |
| Entity Type | Individual |
| Full Name | DR. PAUL OGBURN JR. |
| Practice Address |
200 Belle Terre Rd Port Jefferson NY 11777 |
| Practice Telephone | 6314746000 |
| Mailing Telephone | 6314746000 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2012-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
220748 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02145568 | 05 |
| Street Address |
200 BELLE TERRE RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243987 | Stacey Luise Tursi | Nurse Practitioner | 200 Belle Terre Rd, Dept. of Nursing Education, Port Jefferson, NY 11777 | 2005-05-27 |
| 1114555331 | Justine Morgan | Occupational Therapist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | 2020-04-01 |
| 1013543503 | Michelle Wah | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-03-17 |
| 1285266130 | James Joseph Cassin | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-02-09 |
| 1518599752 | Yigit Ali Gol | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-02-05 |
| 1043855596 | Robert Kennedy Awadallah | Pharmacist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | 2019-11-07 |
| 1356983449 | Joseph Francis Byrne | Physician Assistant | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-10-10 |
| 1871149740 | Alyssa Dawn Morando | Dietitian, Registered | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-08-15 |
| 1912562133 | Cassandra Jones | Anesthesiology | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-05-02 |
| 1235697400 | Joshua Jihun Sok | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249268 | Dottie L Watson Md | Obstetrics & Gynecology | 270 River St Ste 204, Troy, NY 12180-0806 | 2020-09-15 |
| 1083126155 | Hjc Medicine Pllc | Obstetrics & Gynecology | 13620 38th Ave Ste 5d, Flushing, NY 11354-4264 | 2017-10-30 |
| 1497275044 | Dr. Tang Medical Office PC | Obstetrics & Gynecology | 76 Cambridge Ave, Garden City, NY 11530-1153 | 2017-06-25 |
| 1386087062 | Jessica Brooke Spiegelman | Obstetrics & Gynecology | 150 E 32nd St Fl 1, New York, NY 10016-6058 | 2013-04-11 |
| 1457626632 | Patricia Rekawek | Obstetrics & Gynecology | 120 Mineola Blvd Ste 110, Mineola, NY 11501-4077 | 2012-03-20 |
| 1326334053 | Frances Marks | Obstetrics & Gynecology | 622 West 168 Street, Dept Ob/gyn, 16th Floor, Nyph Columbia Presbyterian Medical Center, New York, NY 10032 | 2011-06-21 |
| 1336431840 | Matthew J. Blitz | Obstetrics & Gynecology | 376 E Main St Ste 202, Bay Shore, NY 11706 | 2011-05-03 |
| 1861781452 | Malavika Prabhu | Obstetrics & Gynecology | 525 E 68th St # M7-22, New York, NY 10065 | 2011-04-04 |
| 1104125806 | Sarah Lillian Pachtman | Obstetrics & Gynecology | 130 E 77th St Fl 2, New York, NY 10075-1851 | 2011-03-21 |
| 1033439690 | Alexis Joanne Disilvestro | Obstetrics & Gynecology | 1240 New Scotland Avenue Suite 101, St. Peter's Maternal Fetal Medicine, Slingerlands, NY 12159-9276 | 2010-06-07 |
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| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.