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EAST COAST GYNECOLOGY PC
NPI 1639887755
Obstetrics & Gynecology - Gynecology in Merrick, NY

Active since November 08, 2022CLIA 33D2341882 · Waiver
31 MERRICK AVE., SUITE #230, MERRICK, NY 11566(516) 712-6565(516) 217-4049 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 21, 2023, Nov 8, 2022 (2 updates tracked since 2022).

About East Coast Gynecology Pc NPPES

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

EAST COAST GYNECOLOGY PC (NPI 1639887755) is a healthcare organization registered as a gynecology in Merrick, New York and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Kerry Rut, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1639887755
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameEAST COAST GYNECOLOGY PC
Location Address31 MERRICK AVE., SUITE #230Merrick, NY 11566
Mailing Address31 Merrick Ave., Suite #230Merrick, NY 11566 · (516) 712-6565 · Fax (516) 217-4049
Phone(516) 712-6565
Fax(516) 217-4049
Organization SubpartNo
Authorized OfficialKerry RutOwner/president · (516) 712-6565
Enumeration DateNovember 8, 2022
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1639887755 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
31 MERRICK AVE., Merrick, NY 11566
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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

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 33D2341882

East Coast Gynecology PC · Merrick, NY
Active · expires Apr 8, 2028
CLIA Number33D2341882
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorKerry Rut
Laboratory Phone(516) 712-6565
Laboratory LocationEast Coast Gynecology PC31 Merrick Ave Suite 230, Merrick, NY 11566
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 East Coast Gynecology PC's NPI number?

The NPI number for East Coast Gynecology PC is 1639887755. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is East Coast Gynecology PC located?

East Coast Gynecology PC is located at 31 Merrick Ave. Suite #230, Merrick, NY 11566. The listed phone number is (516) 712-6565.

What is East Coast Gynecology PC's specialty?

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

Does East Coast Gynecology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2341882) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Coast Gynecology PC was last updated on June 21, 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.