ISLAND REPRODUCTIVE SERVICES PC NPI 1912057761

NPI Information

  • NPI: 1912057761
  • Provider Name: ISLAND REPRODUCTIVE SERVICES, PC
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Organization
  • CLIA Number: 33D1065551
  • Address: 237 RICHMOND VALLEY RD
    STATEN ISLAND, NY
    ZIP 10309
  • Phone: (718) 948-6100

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NPI Details

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
1207VE0102XObstetrics & GynecologyReproductive Endocrinology187839NEW YORKYes

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
102139540MEDICAIDNEW YORK
2450E81MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3F84971MEDICARE UPINNEW 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: 3/30/2025

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