Individual provider Active NPI

Maricela Garcia, RN,CNM,APN

  • Advanced Practice Midwife
  • New York, NY
National Provider Identifier
1184955866
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001968-01 Issued in NY
Practice address
279 E 3Rd St
New York, NY 10009-7813
Phone
(212) 477-8500
NPI assigned
Jan 20, 2010
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 775154-01 NY
Registered Nurse 163W00000X 041338954 IL
Nurse Practitioner 363L00000X 209007998 IL
Advanced Practice Midwife 367A00000X 209.007998041.338954 IL
Advanced Practice Midwife 367A00000X F001968-01 NY Primary

Addresses

Primary practice location

279 E 3Rd St
New York, NY 10009-7813

Mailing address

279 E 3Rd St
New York, NY 10009-7813
Phone (212) 749-1820

Other practice location 1

302 E 72nd St
New York, NY 10021-4772
Phone (888) 603-9338

Other identifiers 1

IdentifierTypeStateIssuer
05941722MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151110003019 IL Practitioner - Certified Nurse Midwife (CNM) 4284944844 Reassigns benefits to 3 organizations
I20200218002613 NY Practitioner - Certified Nurse Midwife (CNM) 4284944844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

279 E 3Rd St
New York, NY 10009-7813
Phone (212) 531-7533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041338954ILMDRegistered Nurse
775154-01NYMDRegistered Nurse
209.007998041.338954ILMDAdvanced Practice Midwife
F001968-01NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Apr 12, 2021 Accepting new patients
Kakossian Medical Woman Care PC CurrentSince Dec 14, 2019 Accepting new patients
Chicago Medical Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Howard Brown Health Center Current Accepting new patients
Howard Brown Health Center CurrentSince Nov 1, 2019 Accepting new patients
Bodhi Medical Care, LLC CurrentSince Apr 15, 2020 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Apr 12, 2021 Accepting new patients
Friend Family Health Center, Inc CurrentSince Oct 5, 2015 Accepting new patients
William F Ryan Community Health Center Inc Current Accepting new patients
Howard Brown Health Center CurrentSince Nov 1, 2019 Accepting new patients
Morris Heights Health Center, Inc. Past Accepting new patients
Ryan-Chelsea Clinton Community Health Center Past Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

5843 S Western Ave
Chicago, IL 60636
Phone (773) 434-8600

6500 N Clark St
Chicago, IL 60626
Phone (773) 681-5033

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055

1180 Brighton Beach Ave
Ste 1
Brooklyn, NY 11235
Phone (718) 833-8777

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

110 W 97th St
#0
New York, NY 10025

154 Wadsworth Ave
New York, NY 10033
Phone (212) 531-7589

279 E 3rd St
New York, NY 10009
Phone (212) 477-8500

302 E 72nd St
New York, NY 10021
Phone (212) 734-4488

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/683/brand/4/csg/61/fhir/r4

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1184955866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 E 3RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097813",
            "telephone_number": "212-749-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E 3RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097813",
            "telephone_number": "212-477-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 E 72nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214772",
            "country_code": "US",
            "telephone_number": "888-603-9338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARICELA",
        "name_prefix": "Ms.",
        "credential": "RN,CNM,APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "775154-01",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041338954",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007998",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.007998041.338954",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001968-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05941722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.