1. Home
  2. Directory
  3. New York
  4. Lockport
  5. Obstetrics Gynecology
  6. NPI Profile

ST. PETERSBURG MEDICAL CARE LLC
NPI 1437609807
Obstetrics & Gynecology - Gynecology in Lockport, NY

Active since October 10, 2016
225 EAST AVE, LOCKPORT, NY 14094(716) 438-3546 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Petersburg Medical Care Llc NPPES

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

ST. PETERSBURG MEDICAL CARE LLC (NPI 1437609807) is a healthcare organization registered as a gynecology in Lockport, New York and active in the NPI registry since October 2016. The organization lists Mohamed Khalaf, Manager, as its authorized official.

NPPES Registry Identity

NPI1437609807
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameST. PETERSBURG MEDICAL CARE LLC
Location Address225 EAST AVELockport, NY 14094-3812
Mailing Address2001 16th St N, Attn:paul C JensenSt Petersburg, FL 33704-3921 · (716) 438-3546
Phone(716) 438-3546
Organization SubpartNo
Authorized OfficialMohamed KhalafManager · (716) 438-3546
Enumeration DateOctober 10, 2016
✔ NPI 1437609807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 202334
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 202334 (NY)
225 EAST AVE, Lockport, NY 14094
Open in Google Maps ↗

Other Identifiers 3

Medicaid01636066NY
Medicare PIN12020BNY
Medicare UPINF86409NY

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

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 St. Petersburg Medical Care LLC's NPI number?

The NPI number for St. Petersburg Medical Care LLC is 1437609807. It was assigned to this organization in the NPPES registry on October 10, 2016.

Where is St. Petersburg Medical Care LLC located?

St. Petersburg Medical Care LLC is located at 225 East Ave, Lockport, NY 14094. The listed phone number is (716) 438-3546.

What is St. Petersburg Medical Care LLC'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 St. Petersburg Medical Care LLC was last updated on October 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.