Organization
COMMUNITY OB GYN ASSOCIATES
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up