Individual provider Active NPI

Alexandra Edlyn Fleary, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1114305463
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
306745 Issued in NY
Practice address
90 Maiden LN RM 300
New York, NY 10038-4725
Phone
(646) 290-9560
Fax
(212) 532-4362
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 306745 NY Primary

Addresses

Primary practice location

90 Maiden LN RM 300
New York, NY 10038-4725

Mailing address

835 E 55TH St
Brooklyn, NY 11234-1212
Phone (718) 704-3999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001195 NY Practitioner - Obstetrics/Gynecology 5799019352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maiden Lane Medical PLLCGroup PAC ID 2365728698, 19 clinicians

Practice addresses (Care Compare)

90 Maiden LN
FL 3
New York, NY 10038-4831
Phone (646) 290-9560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306745NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC CurrentSince May 16, 2022 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince May 16, 2022 Accepting new patients

Locations

503 5th Ave
Fl 2
Brooklyn, NY 11215
Phone (718) 254-0101

7206 Narrows Ave
Brooklyn, NY 11209
Phone (718) 283-8793

18 E 41st St
Fl 1
New York, NY 10017
Phone (212) 683-0041

18 E 41st St
Fl 2
New York, NY 10017
Phone (646) 290-9560

415 W Broadway
Fl 5
New York, NY 10012
Phone (646) 290-9560

90 Maiden Ln
Rm 300
New York, NY 10038
Phone (646) 240-4560

90 Maiden Ln
Fl 3
New York, NY 10038
Phone (646) 290-9560

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA
  • Direct secure messaging: alexandrafleary@mai.allscriptsdirect.net
  • Direct secure messaging: afleary1458179@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1114305463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341212",
            "telephone_number": "718-704-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN RM 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384725",
            "telephone_number": "646-290-9560",
            "fax_number": "212-532-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEARY",
        "first_name": "ALEXANDRA",
        "middle_name": "EDLYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "306745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.