1376886382 NPI number — COMPASSIONATE OB/GYN CARE, PLLC

Table of content: BRETTON HEATHER NEWMAN M.D. (NPI 1508861477)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376886382 NPI number — COMPASSIONATE OB/GYN CARE, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPASSIONATE OB/GYN CARE, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376886382
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
302 E 30TH ST
Provider Second Line Business Mailing Address:
GROUND FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-8362
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-826-3300
Provider Business Mailing Address Fax Number:
646-590-2699

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
302 E 30TH ST
Provider Second Line Business Practice Location Address:
GROUND FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-8362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-826-3300
Provider Business Practice Location Address Fax Number:
646-590-2699
Provider Enumeration Date:
03/28/2013

Additional Information

Authorized Official

Authorized Official Last Name:
ANTOINE
Authorized Official First Name:
CLAREL
Authorized Official Middle Name:
Authorized Official Title or Position:
SOLE MEMBER
Authorized Official Telephone Number:
212-826-3300

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  130700 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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