Individual provider Active NPI

Maria L Wing, MD

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1275532822
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161772 Issued in NY
Practice address
77 Quaker Ridge Rd
Suite 200a
New Rochelle, NY 10804-2808
Phone
(914) 235-8224
Fax
(914) 235-6940
NPI assigned
Jul 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161772 NY Primary

Addresses

Primary practice location

77 Quaker Ridge Rd
Suite 200a
New Rochelle, NY 10804-2808

Mailing address

1333A North Ave
PMB 426
New Rochelle, NY 10804-2120
Phone (914) 235-8224

Other identifiers 1

IdentifierTypeStateIssuer
01060631MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1275532822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333A NORTH AVE",
            "address_2": "PMB 426",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042120",
            "telephone_number": "914-235-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 QUAKER RIDGE RD",
            "address_2": "SUITE 200A",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042808",
            "telephone_number": "914-235-8224",
            "fax_number": "914-235-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "MARIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-17",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01060631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.