Waldorf Womens Care
Organization Active NPI Obstetrics & Gynecology Physician · White Plains, MD
NPI 1073806089 · NPPES record last updated Jan 27, 2026
Key facts
- NPI
- 1073806089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0066210 (MD)
- Legal business name
- WALDORF WOMENS CARE
- Practice address
- 4470 Regency PL
Suite 106
White Plains, MD 20695-3071 - Phone
- (240) 252-2140
- Fax
- (240) 252-2141
- NPI assigned
- May 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Aryian Lurecia Cooke, M.D.
- Title
- Ceo
- Phone
- (240) 252-2140
Practitioners 7
-
Aryian Lurecia Cooke, M.D.
-
Cristalle Madray, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110714000164 | MD | Part B Supplier - Clinic/Group Practice | 3678741899 |
Receives reassigned benefits from 6 practitioners Practice locations: Brandywine, MD; Arlington, VA; White Plains, MD |
| O20220926000436 | DC | Part B Supplier - Clinic/Group Practice | 3678741899 |
Receives reassigned benefits from 1 practitioner Practice locations: Brandywine, MD |
National Provider Directory
Locations
7651 Matapeake Business Dr
Ste 204
Brandywine, MD 20613
Phone (240) 252-2140
4470 Regency Pl
Ste 106
White Plains, MD 20695
Phone (240) 252-2140
1005 N Glebe Rd
Ste 470
Arlington, VA 22201
Phone (240) 252-2140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | D0066210 | MD | Yes |
Addresses
Primary practice location
4470 Regency PL
Suite 106
White Plains, MD 20695-3071
Mailing address
PO Box 1100
White Plains, MD 20695-1100
Phone (240) 252-2140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413168100 | Medicaid | MD |
NPI Registry JSON
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1073806089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206951100",
"telephone_number": "240-252-2140",
"fax_number": "240-252-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 REGENCY PL",
"address_2": "SUITE 106",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953071",
"telephone_number": "240-252-2140",
"fax_number": "240-252-2141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALDORF WOMENS CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "COOKE",
"authorized_official_first_name": "ARYIAN",
"authorized_official_middle_name": "LURECIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-252-2140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0066210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413168100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.