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SOUTH NASSAU OBSTETRICS & GYNECOLOGY, PC
NPI 1043570286
Obstetrics & Gynecology - Gynecology in Valley Stream, NY

Active since May 22, 2012
1 S CENTRAL AVE, VALLEY STREAM, NY 11580(516) 632-3350 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Nassau Obstetrics & Gynecology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH NASSAU OBSTETRICS & GYNECOLOGY, PC (NPI 1043570286) is a healthcare organization registered as a gynecology in Valley Stream, New York and active in the NPI registry since May 2012. The organization lists Mark Bogen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043570286
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameSOUTH NASSAU OBSTETRICS & GYNECOLOGY, PC
Location Address1 S CENTRAL AVEValley Stream, NY 11580-5443
Mailing Address1 Healthy WayOceanside, NY 11572-1551
Phone(516) 632-3350
Organization SubpartYesParent: South Nassau Communities Hospital
Authorized OfficialMark BogenCfo · (516) 632-3965
Enumeration DateMay 22, 2012
Last NPPES UpdateMarch 25, 2015
✔ NPI 1043570286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1 S CENTRAL AVE, Valley Stream, NY 11580
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Other Identifiers 1

Medicare PINA100072264NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIDEO TAKAHASHI M.D.
Surgery (Surgical Oncology)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 632-3359
SOUTH NASSAU PHYSICIANS PC
Surgery
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 632-3350
NANCY T ROSENTHAL N.P.
Nurse Practitioner (Women's Health)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 632-3314
LONG ISLAND MEDICAL ONCOLOGY & HEMATOLOGY ASSOC. P.C.
Specialist
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 632-3301
HSU-TSAI CHI MD
Surgery
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 632-3350
MS. KATHLEEN ANNE LEHMANN RN ANP-C
Nurse Practitioner (Adult Health)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 632-3336
DR. RAJIV DATTA M.D.
Surgery (Surgical Oncology)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 632-3300
OLGA LIBERMAN MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nassau County (516) 763-7820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Nassau Obstetrics & Gynecology, PC's NPI number?

The NPI number for South Nassau Obstetrics & Gynecology, PC is 1043570286. It was assigned to this organization in the NPPES registry on May 22, 2012.

Where is South Nassau Obstetrics & Gynecology, PC located?

South Nassau Obstetrics & Gynecology, PC is located at 1 S Central Ave, Valley Stream, NY 11580. The listed phone number is (516) 632-3350.

What is South Nassau Obstetrics & Gynecology, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for South Nassau Obstetrics & Gynecology, PC was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.