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MOMS OB-GYN PC
NPI 1245728658
Obstetrics & Gynecology - Gynecology in Hicksville, NY

Active since May 01, 2018CLIA 33D2060774 · Waiver
120 BETHPAGE RD, HICKSVILLE, NY 11801(516) 513-1004(516) 390-9600 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2020, Oct 26, 2018, May 1, 2018 (3 updates tracked since 2018).

About Moms Ob-gyn Pc NPPES

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

MOMS OB-GYN PC (NPI 1245728658) is a healthcare organization registered as a gynecology in Hicksville, New York and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Briana Farley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245728658
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameMOMS OB-GYN PC
Location Address120 BETHPAGE RDHicksville, NY 11801-1515
Mailing Address503 Clearmeadow DrEast Meadow, NY 11554-1224 · (516) 424-7919
Phone(516) 513-1004
Fax(516) 390-9600
Organization SubpartNo
Authorized OfficialBriana FarleyAdministrator · (516) 424-7919
Enumeration DateMay 1, 2018
Last NPPES UpdateMarch 11, 20203 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1245728658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 236736
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
120 BETHPAGE RD, Hicksville, NY 11801
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2060774

Moms Ob-Gyn PC · Hicksville, NY
Active · expires Jun 17, 2027
CLIA Number33D2060774
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorDr. Ashfaq Afshan
Laboratory Phone(516) 513-1004
Laboratory LocationMoms Ob-Gyn PC120 Hicksville Road, Suite 302, Hicksville, NY 11801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MISS KAREN ELISE NUZIO PHYSICIAN ASSISTANT
Physician Assistant (Medical)
120 BETHPAGE RD
HICKSVILLE, NY 11801
Nassau County (516) 822-6655
MR. JOSE RICHARD BONILLA LCSW
Social Worker (Clinical)
120 BETHPAGE RD, SUITE 201
HICKSVILLE, NY 11801
Nassau County (516) 305-9366
DR. ELLIOT T UDELL DPM
Podiatrist
120 BETHPAGE RD, 206
HICKSVILLE, NY 11801
Nassau County (516) 935-1113
MRS. IRMA WERFEL LCSW
Social Worker (Clinical)
120 BETHPAGE RD, SUITE 201
HICKSVILLE, NY 11801
Nassau County (516) 935-3334
KATHERINE ALEXIS ATHANASIOU PA-C
Physician Assistant (Medical)
120 BETHPAGE RD
HICKSVILLE, NY 11801
Nassau County (516) 932-7777
ELLIOT T UDELL DPM PC
Podiatrist (Primary Podiatric Medicine)
120 BETHPAGE RD, SUITE 206
HICKSVILLE, NY 11801
Nassau County (516) 935-1113
ADNAAN KHAN
Registered Nurse (Addiction (Substance Use Disorder))
120 BETHPAGE RD
HICKSVILLE, NY 11801
Nassau County (516) 566-0920
DR. ARLENE F. KOHN D.P.M.
Podiatrist (Foot Surgery)
120 BETHPAGE RD, STE 306
HICKSVILLE, NY 11801
Nassau County (516) 938-6000

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 Moms Ob-Gyn PC's NPI number?

The NPI number for Moms Ob-Gyn PC is 1245728658. It was assigned to this organization in the NPPES registry on May 1, 2018.

Where is Moms Ob-Gyn PC located?

Moms Ob-Gyn PC is located at 120 Bethpage Rd, Hicksville, NY 11801. The listed phone number is (516) 513-1004.

What is Moms Ob-Gyn PC's specialty?

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

Does Moms Ob-Gyn PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2060774) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moms Ob-Gyn PC was last updated on March 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.