WILLIAMSBURG OB GYN PC
NPI 1932334372
Clinic/Center - Ambulatory Surgical in Ridgewood, NY

Active since May 28, 2009
6620 FRESH POND RD, RIDGEWOOD, NY 11385(718) 381-2240 Get Directions Write a Review

NPPES record last updated: May 28, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About WILLIAMSBURG OB GYN PC

This page provides the complete NPI Profile along with additional information for Williamsburg Ob Gyn Pc, a provider established in Ridgewood, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1932334372 assigned on May 2009. The practitioner's primary taxonomy code is 261QA1903X with license number 235252 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Stephanie L Gordienko M.d (Attending)

NPI
1932334372 Verify this NPI
Provider Name
WILLIAMSBURG OB GYN PC
Entity Type
Organization
Location Address
6620 FRESH POND RD RIDGEWOOD, NY 11385
Location Phone
(718) 381-2240
Mailing Address
1619 3RD AVE APT 7B NEW YORK, NY 10128
Mailing Phone
(212) 427-4111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2009
Last Update Date
05-28-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
235252
License State
NY

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHANIE L GORDIENKO M.D

Authorized Official Title
ATTENDING
Authorized Official Phone
(212) 427-4111

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932334372, enumerated as an "organization" on May 28, 2009.

The provider is located at 6620 FRESH POND RD RIDGEWOOD, NY 11385 and the phone number is (718) 381-2240.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.