Active NPI
Madonna Physicians Services PC
- Maternal & Fetal Medicine Physician
- Mineola, NY
National Provider Identifier
1073606992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 217664
- Legal business name
- MADONNA PHYSICIANS SERVICES PC
- Practice address
- 300 Old Country Rd
Mineola, NY 11501 - Phone
- (516) 747-4616
- Fax
- (516) 747-4756
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Spector
- Title
- Administrator
- Phone
- (516) 633-5018
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 135376 | NY | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 217664 | NY | Primary |
Addresses
Primary practice location
300 Old Country Rd
Mineola, NY 11501
Mailing address
375 N Boradway
Suite LL2
Jericho, NY 11753
Phone (516) 433-5018
Other names 1
- Madonna Perinatal Services
National Provider Directory
National Provider DirectoryLocations
400 W Main St
Ste 160
Babylon, NY 11702
263 7th Ave
Ste 4A
Brooklyn, NY 11215
Phone (718) 246-8590
1175 W Broadway
Ste 33
Hewlett, NY 11557
Phone (516) 616-4522
300 Old Country Rd
Mineola, NY 11501
Phone (516) 280-2599
131 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 418-8058
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Hewlett, NY
- NPI 1124128178
-
- Reproductive Endocrinology Physician
- Woodside, NY
- NPI 1215053962
-
- Gynecology Physician
- Middle Village, NY
- NPI 1023271004
-
- Obstetrics & Gynecology Physician
- Astoria, NY
- NPI 1154771764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073606992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 N BORADWAY",
"address_2": "SUITE LL2",
"city": "JERICHO",
"state": "NY",
"postal_code": "11753",
"telephone_number": "516-433-5018",
"fax_number": "516-433-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD COUNTRY RD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-747-4616",
"fax_number": "516-747-4756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADONNA PHYSICIANS SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPECTOR",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-633-5018"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NY",
"license": "135376",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NY",
"license": "217664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Madonna Perinatal Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mineola, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.