MOMS OB-GYN PC NPI 1245728658

NPI Information

  • NPI: 1245728658
  • Provider Name: MOMS OB-GYN PC
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • CLIA Number: 33D2060774
  • Address: 120 BETHPAGE RD
    HICKSVILLE, NY
    ZIP 11801
  • Phone: (516) 513-1004

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NPI Details

MOMS OB-GYN PC is a gynecology obstetrics gynecology in Hicksville, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MOMS OB-GYN PC NPI is 1245728658. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 BETHPAGE RD
HICKSVILLE, NY
ZIP 11801-515
Phone: (516) 513-1004
Fax: (516) 390-9600

The provider's authorized official is Briana Farley .
The authorized official title is Administrator and has the following contact phone number (516) 424-7919.

The CLIA number assigned to this NPI record is 33D2060774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2018 and was last updated on 3/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecology236736NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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