Provider Demographics
NPI:1982062444
Name:COLUMBUS OB-GYN SERVICES PC
Entity Type:Organization
Organization Name:COLUMBUS OB-GYN SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD, MSC
Authorized Official - Phone:212-265-5454
Mailing Address - Street 1:4 COLUMBUS CIR
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1100
Mailing Address - Country:US
Mailing Address - Phone:212-265-5454
Mailing Address - Fax:
Practice Address - Street 1:4 COLUMBUS CIR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1100
Practice Address - Country:US
Practice Address - Phone:212-265-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218311207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH59194Medicare UPIN
NY532D91Medicare PIN