NPIMap

Individual provider Active NPI

Anne L Maitland, M.D.

  • Allergy Physician
  • Tarrytown, NY
National Provider Identifier
1083660047
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
219055 Issued in NY
Practice address
55 S Broadway
2ND Floor
Tarrytown, NY 10591-4000
Phone
(914) 631-3283
Fax
(914) 631-3284
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 219055 NY Primary

Addresses

Primary practice location

55 S Broadway
2ND Floor
Tarrytown, NY 10591-4000

Mailing address

55 S Broadway
2ND Floor
Tarrytown, NY 10591-4000
Phone (914) 631-3283

Other names 1

  • Dr. Anne Maitland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, UT, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070914000162 NY Practitioner - Allergy/ImmunologyPractitioner - Gastroenterology 1658465166
I20240212003821 UT Practitioner - Allergy/Immunology 1658465166
I20250827005143 SC Practitioner - Allergy/Immunology 1658465166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219055NYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 9, 2025 Accepting new patients
Good Life Physical Therapy PLLC CurrentSince Feb 25, 2021 Accepting new patients
Metrodora ASC, LLC CurrentSince Dec 30, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 9, 2025 Accepting new patients

Locations

55 S Broadway
Ste 2
Tarrytown, NY 10591
Phone (914) 200-1475

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2060 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 876-0111

3535 S Market St
West Valley City, UT 84119
Phone (385) 430-1430

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4039/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amaitland538110@direct.musc.edu
  • Direct secure messaging: amaitland@hiemail.healtheconnections.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1083660047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914000",
            "telephone_number": "914-631-3283",
            "fax_number": "914-631-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914000",
            "telephone_number": "914-631-3283",
            "fax_number": "914-631-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITLAND",
        "first_name": "ANNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "219055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "MAITLAND",
            "prefix": "DR.",
            "credential": "M.D.PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.