Individual provider Active NPI

Flavia Wajnsztajn-Theil, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1316180904
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
270480 Issued in NY
Practice address
993 Park Ave
New York, NY 10028-0809
Phone
(212) 744-6700
Fax
(212) 744-6799
NPI assigned
Apr 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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 270480 NY Primary

Addresses

Primary practice location

993 Park Ave
New York, NY 10028-0809

Mailing address

993 Park Ave
New York, NY 10028-0809
Phone (212) 744-6700

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
I20131105001288 NY Practitioner - Obstetrics/Gynecology 5799910469 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
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)

18 E 41St St
FL 2
New York, NY 10017-6222
Phone (646) 290-9560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270480NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC CurrentSince May 1, 2023 Accepting new patients
Emusc, LLC CurrentSince May 29, 2018 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC Past Accepting new patients

Locations

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

503 5th Ave
Ste 2
Brooklyn, NY 11215

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

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
#5
New York, NY 10012

110 E 60th St
Rm 903
New York, NY 10022
Phone (649) 290-9560

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

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

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

Interoperability endpoints

  • Direct secure messaging: fwajnsztajntheil67399@northwell.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA

Organizations & group practices 6

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": "1239494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1316180904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-744-6700",
            "fax_number": "212-744-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-744-6700",
            "fax_number": "212-744-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJNSZTAJN-THEIL",
        "first_name": "FLAVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-12",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "270480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.