# VILLAGE OBSTETRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275855900
- **Authorized official:** JAQUELINE M WORTH MD (MANAGER)
- **Authorized official phone:** (212) 741-2229

## Contact information

- **Practice address:** 1225 PARK AVE STE 1D, NEW YORK, NY 10128-1758
- **Practice address phone:** (212) 741-2229
- **Practice address fax:** (212) 741-2228
- **Mailing address:** 1225 PARK AVE STE 1D, NEW YORK, NY 10128-1758
- **Mailing address phone:** (212) 741-2228
- **Mailing address fax:** (212) 741-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2114481 | NY | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 198008-1 | NY | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 02/22/2010
- **Last updated:** 02/01/2023