NPIMap

Organization Active NPI

Medwell Womens Medical Services PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1073633574
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
221182 Issued in NY
Legal business name
MEDWELL WOMENS MEDICAL SERVICES PLLC
Practice address
2183 Ocean Ave
Brooklyn, NY 11229-2303
Phone
(718) 382-6565
Fax
(718) 382-6658
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Norma Perez Veridiano, MDNPI 1669464541
Title
Owner
Phone
(718) 382-6565

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 115489 NY
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 221715 NY
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 221182 NY Primary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X F001207 NY
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X F000809 NY

Addresses

Primary practice location

2183 Ocean Ave
Brooklyn, NY 11229-2303

Mailing address

2183 Ocean Ave
Brooklyn, NY 11229-2303
Phone (718) 382-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000433 NY Part B Supplier - Clinic/Group Practice 4183684798 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

829 57th St
Fl 3
Brooklyn, NY 11220
Phone (718) 633-7273

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4669/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1073633574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-382-6565",
            "fax_number": "718-382-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-382-6565",
            "fax_number": "718-382-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWELL WOMENS MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "VERIDIANO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-382-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "115489",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "221715",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "221182",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001207",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "NY",
            "license": "F000809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.