OFFICE BASED SURGERY ON THE BAY NPI 1649429929

NPI Information

  • NPI: 1649429929
  • Provider Name: OFFICE BASED SURGERY ON THE BAY
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 1711 SHEEPSHEAD BAY RD
    BROOKLYN, NY
    ZIP 11235
  • Phone: (718) 332-5678

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NPI Details

OFFICE BASED SURGERY ON THE BAY is a gynecology obstetrics gynecology in Brooklyn, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee OFFICE BASED SURGERY ON THE BAY NPI is 1649429929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1711 SHEEPSHEAD BAY RD
BROOKLYN, NY
ZIP 11235-651
Phone: (718) 332-5678
Fax: (718) 934-1780

The provider's authorized official is Oleg Gutnik .
The authorized official title is Medical Director and has the following contact phone number (718) 332-5678.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/11/2008.

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
1207RG0100XInternal MedicineGastroenterologyNo
2207VG0400XObstetrics & GynecologyGynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A63833MEDICARE UPIN

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: 11/21/2025

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