Individual provider Active NPI

Maria Antonios Vomvolakis, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1275736555
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
242875 Issued in NY
Practice address
7715 4TH Ave
Brooklyn, NY 11209-3439
Phone
(718) 833-2300
Fax
(718) 836-2305
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 242875 NY Primary

Addresses

Primary practice location

7715 4TH Ave
Brooklyn, NY 11209-3439

Mailing address

7715 4TH Ave
Brooklyn, NY 11209-3439
Phone (718) 833-2300

Other practice location 1

222 W 14th St
New York, NY 10011-7200
Phone (212) 352-2600

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
I20091112000377 NY Practitioner - Pediatric Medicine 8628116654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Pediatrics CurrentSince Sep 15, 2015 Accepting new patients
New York University CurrentSince Dec 1, 2016 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Jan 1, 2023 Accepting new patients
New York University Pediatrics CurrentSince Dec 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2015 Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients

Locations

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

1332 Peninsula Blvd
Hewlett, NY 11557
Phone (516) 531-6130

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

222 W 14th St
New York, NY 10011
Phone (212) 604-1800

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

265 Sunrise Hwy
Ste 20
Rockville Ctr, NY 11570
Phone (516) 268-0270

Interoperability endpoints

  • Direct secure messaging: maria.vomvolakis@ghuc.eclinicaldirectplus.com

Organizations & group practices 7

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1275736555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093439",
            "telephone_number": "718-833-2300",
            "fax_number": "718-836-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093439",
            "telephone_number": "718-833-2300",
            "fax_number": "718-836-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W 14th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117200",
            "country_code": "US",
            "telephone_number": "212-352-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOMVOLAKIS",
        "first_name": "MARIA",
        "middle_name": "ANTONIOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "242875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.