Provider Demographics
NPI:1710219829
Name:SV OB/GYN, PC
Entity Type:Organization
Organization Name:SV OB/GYN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-758-6565
Mailing Address - Street 1:155 EAST WOODSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772
Mailing Address - Country:US
Mailing Address - Phone:631-758-6565
Mailing Address - Fax:631-758-6568
Practice Address - Street 1:155 EAST WOODSIDE AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772
Practice Address - Country:US
Practice Address - Phone:631-758-6565
Practice Address - Fax:631-758-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204926207V00000X, 261Q00000X
NY255500261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01766476Medicaid
NY1316276074OtherNPI
NY42G101Medicare UPIN
NY01766476Medicaid