Organization
COMMUNITY OB GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S SHANAHAN DO (CHEIF)
(845) 986-5123
Entity
Organization
Contact information
Practice address
15 MAPLE AVE, WARWICK, NY 10990-1028
(845) 986-1523
(845) 986-1488
Mailing address
PO BOX 469, WARWICK, NY 10990-0469
(845) 986-5123
(845) 986-1488
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01814699
—
NY
01
—
0202210
GHI PPO
NY
01
—
10856
WELLCARE
NY
01
—
69941
MVP HEALTH PLANS
NY
01
—
903803
AETNA HEALTH PLANS HMO
NY
01
—
C30733
HEALTHNET
NY
Enumeration date
02/13/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us