ISLAND REPRODUCTIVE SERVICES PC NPI 1912057761

NPI Information

NPI: 1912057761
Provider Name: ISLAND REPRODUCTIVE SERVICES, PC
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 33D1065551

Address:
237 RICHMOND VALLEY RD
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 948-6100
Get Directions

ISLAND REPRODUCTIVE SERVICES, PC is a reproductive endocrinology obstetrics gynecology in Staten Island, NY. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. ISLAND REPRODUCTIVE SERVICES, PC NPI is 1912057761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

237 RICHMOND VALLEY RD
STATEN ISLAND, NY
ZIP 10309-622
Phone: (718) 948-6100
Fax: (718) 948-6114

The provider's authorized official is Eric S Knochenhauer .
The authorized official title is Md/owner and has the following contact phone number (718) 948-6100.

The CLIA number assigned to this NPI record is 33D1065551 - tissue bank/repositories with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 3/16/2016.

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
1	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	187839	NEW YORK	Yes

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
1	02139540	MEDICAID	NEW YORK
2	450E81	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	F84971	MEDICARE UPIN	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »