Individual provider Active NPI

Maria Chattha, MD

  • Obstetrics & Gynecology Physician
  • Valley Stream, NY
National Provider Identifier
1144535402
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
284872 Issued in NY
Practice address
1130 Linden St
Valley Stream, NY 11580-2144
Phone
(516) 320-8156
Fax
(317) 953-7253
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT197032 PA
Obstetrics & Gynecology Physician 207V00000X 284872 NY Primary

Addresses

Primary practice location

1130 Linden St
Valley Stream, NY 11580-2144

Mailing address

19 Blossom Row
Valley Stream, NY 11580-2509
Phone (718) 532-6585

Other identifiers 1

IdentifierTypeStateIssuer
04563035MedicaidNY

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
I20161108001093 NY Practitioner - Obstetrics/Gynecology 2668751017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1130 Linden St
Valley Stream, NY 11580-2144
Phone (516) 320-8156

19 Blossom Row
Valley Stream, NY 11580-2509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284872NYMDLicensed Practical Nurse
MT197032PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Sep 22, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 22, 2019 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Sep 5, 2016 Accepting new patients
Valley Medical Care PC Obstetrics & Gynecology CurrentSince Sep 27, 2024 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDDBA/Endpoint/JGDDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBEGDD/Endpoint/GBEGDD

Organizations & group practices 5

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1144535402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BLOSSOM ROW",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802509",
            "telephone_number": "718-532-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LINDEN ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802144",
            "telephone_number": "516-320-8156",
            "fax_number": "317-953-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTHA",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT197032",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "284872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04563035",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.