67TH STREET OB GYN PLLC
NPI 1306217971
Obstetrics & Gynecology in New York, NY
About 67th Street Ob Gyn Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
67TH STREET OB GYN PLLC (NPI 1306217971) is a healthcare organization registered as an obstetrics & gynecology in New York, New York and active in the NPI registry since October 2015. The organization maintains a secondary practice location in New York and lists Daniel Roshan, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
67th Street Ob Gyn Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to 67th Street Ob Gyn PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 67th Street Ob Gyn PLLC's NPI number?
The NPI number for 67th Street Ob Gyn PLLC is 1306217971. It was assigned to this organization in the NPPES registry on October 8, 2015.
Where is 67th Street Ob Gyn PLLC located?
67th Street Ob Gyn PLLC is located at 115 E 67th St Apt 1A, New York, NY 10065. The listed phone number is (212) 249-3949.
What is 67th Street Ob Gyn PLLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is 67th Street Ob Gyn PLLC enrolled in Medicare?
Yes. 67th Street Ob Gyn PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 67th Street Ob Gyn PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to 67th Street Ob Gyn PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 67th Street Ob Gyn PLLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# 67th Street Ob Gyn Pllc · NPI 1306217971
Obstetrics & Gynecology organization in New York, New York. Organization record, active in the CMS NPPES registry since October 8, 2015.
## Identity
- **NPI:** 1306217971 (Entity type: Organization)
- **Enumerated:** October 8, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Roshan, MD
## Practice location
- **Address:** 115 E 67TH ST APT 1A, New York, NY 10065-5990
- **Phone:** (212) 249-3949 · **Fax:** (312) 602-9799
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Obstetrics/Gynecology) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306217971) · Data from the CMS NPPES public registry.