Mayfield Medical Group LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAYFIELD MEDICAL GROUP LLC

Practice address

16 North Broadway
Suite LMG
White Plains, NY 10601

Phone

(914) 686-1848

Fax

(914) 397-0001

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Michele Linda Lee Bailey, MD

Title

General Partner

Phone

(914) 686-1848

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Linda Lee Bailey Ingram, MD

  • Pediatrics Physician
  • White Plains, NY
  • NPI 1447346408
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063508125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NORTH BROADWAY",
            "address_2": "SUITE LMG",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-686-1848",
            "fax_number": "914-397-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 NORTH BROADWAY",
            "address_2": "SUITE LMG",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-686-1848",
            "fax_number": "914-397-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LINDA LEE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "914-686-1848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Maya, RN
• Mindy Mayer, LCSW-R
• Ari L Mayerfield, M.D.
• Michael Philip Mayers, DMD
• Judith Mayes, APRN, BC,MAC
• Vicki Donna Mayo
• Sofia Mazza, M.S. CCC-SLP
• Jeannine Mazzarell
• Paola Mazzoni, M.D.
• Annastecia Mbagwu

• Pediatrics Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.