Provider Demographics
NPI:1255456745
Name:UNIVERSITY PLAZA OBSTETRICS & GYNECOLOGY, LLP
Entity type:Organization
Organization Name:UNIVERSITY PLAZA OBSTETRICS & GYNECOLOGY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:SHELDON
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-222-0722
Mailing Address - Street 1:877 STEWART AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4803
Mailing Address - Country:US
Mailing Address - Phone:516-222-0722
Mailing Address - Fax:516-683-0184
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-222-0722
Practice Address - Fax:516-683-0184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNS0001322OtherSELECT PRO
NY4233515OtherAETNA PPO
NY879529OtherAETNA HMO
NYOC7423OtherPHS
NY0299779OtherGHI
NYAP325OtherOXFORD
NYGR079A9210OtherBLUE CHOICE
NYGR079A9210OtherEMPIRE PLAN
NY=========OtherPHCS
NYNS0001322OtherSELECT PRO
NY4233515OtherAETNA PPO
NY=========OtherMAGNA CARE
NY=========OtherMULTI PLAN
NY0299779OtherGHI
NYGR079A9210OtherBLUE CHOICE