Mitchell Maiman, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

151801 Issued in NY

Practice address

265 Mason Ave
Staten Island, NY 10305-3417

Phone

(718) 226-9399

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1073596300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER ST",
            "address_2": "6TH FL. PAYER RELATIONS",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054900",
            "telephone_number": "718-226-1008",
            "fax_number": "718-226-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053417",
            "telephone_number": "718-226-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIMAN",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "151801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00993339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Frances Maida, R.PH.
• Michele Susan Maida, M.A.,CCC-SLP
• Jeanine Rene Maiello
• Wendy Maiello
• Liliana Maiguel, PT
• Dara Maimone
• Deena Maimone
• Maimonides Medical Center
• Maimonides Medical Center
• Margarita Maimur, CRNA

• Gynecologic Oncology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Gynecologic Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.