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INNOVATIVE HEALTHCARE PHYSICIANS P.C. NPI 1982773420


NPI Information

NPI: 1982773420
Provider Name: INNOVATIVE HEALTHCARE PHYSICIANS, P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 33D1061670

Address:
225 BROADWAY
RM 901
NEW YORK, NY
ZIP 10007
Phone: (212) 393-9400
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INNOVATIVE HEALTHCARE PHYSICIANS, P.C. is an obstetrics gynecology in New York, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. INNOVATIVE HEALTHCARE PHYSICIANS, P.C. NPI is 1982773420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

225 BROADWAY
RM 901
NEW YORK, NY
ZIP 10007-001
Phone: (212) 393-9400
Fax: (212) 393-9405

The provider's authorized official is John C Wirth .
The authorized official title is Owner Physician and has the following contact phone number (212) 393-9400.

The CLIA number assigned to this NPI record is 33D1061670 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology209892-1NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101810457MEDICAIDNEW 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

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.