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

MYRTLE STREET OBSTETRICS AND GYNECOLOGY, PC
NPI 1629344320
Obstetrics & Gynecology in Malta, NY

Active since March 27, 2012
2105 ELLSWORTH BLVD, MALTA, NY 12020(518) 587-2400(518) 581-0141 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myrtle Street Obstetrics And Gynecology, Pc NPPES

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

MYRTLE STREET OBSTETRICS AND GYNECOLOGY, PC (NPI 1629344320) is a healthcare organization registered as an obstetrics & gynecology in Malta, New York and active in the NPI registry since March 2012. The organization lists Louise West, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1629344320
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMYRTLE STREET OBSTETRICS AND GYNECOLOGY, PC
Location Address2105 ELLSWORTH BLVDMalta, NY 12020
Mailing Address59 Myrtle StSaratoga Springs, NY 12866-1093 · (518) 587-2400 · Fax (518) 581-0141
Phone(518) 587-2400
Fax(518) 581-0141
Organization SubpartNo
Authorized OfficialLouise WestPractice Administrator · (518) 587-5304
Enumeration DateMarch 27, 2012
✔ NPI 1629344320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 189300-1
Definition
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.
2105 ELLSWORTH BLVD, Malta, NY 12020
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN33533ANY
Medicaid01877009NY

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 SINGLE 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 Myrtle Street Obstetrics And Gynecology, PC's NPI number?

The NPI number for Myrtle Street Obstetrics And Gynecology, PC is 1629344320. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is Myrtle Street Obstetrics And Gynecology, PC located?

Myrtle Street Obstetrics And Gynecology, PC is located at 2105 Ellsworth Blvd, Malta, NY 12020. The listed phone number is (518) 587-2400.

What is Myrtle Street Obstetrics And Gynecology, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Myrtle Street Obstetrics And Gynecology, PC was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.