Organization Active NPI

Maggie Tavdy Endocrinology Metabolism, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Yonkers, NY
National Provider Identifier
1063547438
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
211927 Issued in NY
Legal business name
MAGGIE TAVDY ENDOCRINOLOGY METABOLISM, PC
Practice address
875 Yonkers Ave
Yonkers, NY 10704-3019
Phone
(914) 237-4377
Fax
(914) 375-4405
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Maggie Tavdy, M.D.NPI 1750470837
Title
President
Phone
(914) 237-4377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 211927 NY Primary

Addresses

Primary practice location

875 Yonkers Ave
Yonkers, NY 10704-3019

Mailing address

875 Yonkers Ave
Yonkers, NY 10704-3019
Phone (914) 237-4377

Other identifiers 1

IdentifierTypeStateIssuer
02053189MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000180 NY Part B Supplier - Clinic/Group Practice 2062301484 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Yonkers, NY; Forest Hills, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10721 Queens Blvd
Forest Hills, NY 11375
Phone (718) 261-2992

984 N Broadway
Ste 305
Yonkers, NY 10701
Phone (914) 237-4377

875 Yonkers Ave
Yonkers, NY 10704
Phone (914) 237-0959

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1063547438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043019",
            "telephone_number": "914-237-4377",
            "fax_number": "914-375-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043019",
            "telephone_number": "914-237-4377",
            "fax_number": "914-375-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE TAVDY ENDOCRINOLOGY METABOLISM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "TAVDY",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-237-4377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "211927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02053189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.