Individual provider Active NPI

Fernando Temporal Mariz, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1043619273
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
293400 Issued in NY
Practice address
222 E 34TH St
New York, NY 10016-4842
Phone
(646) 290-9560
NPI assigned
Aug 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 293400 NY Primary

Addresses

Primary practice location

222 E 34TH St
New York, NY 10016-4842

Mailing address

90 Maiden LN RM 300
New York, NY 10038-4725
Phone (727) 729-0149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904003356 NY Practitioner - Obstetrics/Gynecology 6709180920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maiden Lane Medical PLLCGroup PAC ID 2365728698, 19 clinicians

Practice addresses (Care Compare)

18 E 41St St
FL 2
New York, NY 10017-6222
Phone (646) 290-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC CurrentSince May 24, 2023 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince May 24, 2023 Accepting new patients

Locations

503 5th Ave
Fl 2
Brooklyn, NY 11215
Phone (718) 254-0101

7206 Narrows Ave
Brooklyn, NY 11209
Phone (718) 283-8793

503 5th Ave
Ste 2
Brooklyn, NY 11215

18 E 41st St
Fl 2
New York, NY 10017
Phone (646) 290-9560

415 W Broadway
#5
New York, NY 10012

415 W Broadway
Fl 5
New York, NY 10012
Phone (646) 290-9560

110 E 60th St
Rm 903
New York, NY 10022
Phone (649) 290-9560

90 Maiden Ln
Rm 300
New York, NY 10038
Phone (646) 240-4560

90 Maiden Ln
Fl 3
New York, NY 10038
Phone (646) 290-9560

90 Maiden Ln
New York, NY 10038
Phone (646) 290-9560

18 E 41st St
Fl 1
New York, NY 10017
Phone (212) 683-0041

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1043619273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN RM 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384725",
            "telephone_number": "727-729-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164842",
            "telephone_number": "646-290-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIZ",
        "first_name": "FERNANDO",
        "middle_name": "TEMPORAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "293400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.