Organization Active NPI

Maya Ipa, Inc.

  • Health Maintenance Organization
  • Brooklyn, NY
National Provider Identifier
1326661695
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MAYA IPA, INC.
Practice address
2654 Hubbard St
Brooklyn, NY 11235-6215
Phone
(855) 629-2472
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Michael Lipsky
Title
President
Phone
(855) 629-2472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2654 Hubbard St
Brooklyn, NY 11235-6215

Mailing address

2654 Hubbard St
Brooklyn, NY 11235-6215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1326661695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 HUBBARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 HUBBARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356215",
            "telephone_number": "855-629-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA IPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "LIPSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-629-2472"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.