Active NPI
Maternity Medical Group PLLC
- Obstetrics Physician
- New York, NY
National Provider Identifier
1336716059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Legal business name
- MATERNITY MEDICAL GROUP PLLC
- Practice address
- 101 W 12TH St
New York, NY 10011-8142 - Phone
- (212) 705-8785
- Fax
- (212) 370-4390
- NPI assigned
- Jun 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaqueline M Worth, MD
- Title
- Manager
- Phone
- (212) 741-2229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Obstetrics Physician | 207VX0000X | Primary | ||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
101 W 12TH St
New York, NY 10011-8142
Mailing address
1225 Park Ave # 1D
New York, NY 10128-1758
Phone (212) 741-2229
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1336716059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 PARK AVE # 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281758",
"telephone_number": "212-741-2229",
"fax_number": "212-741-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 12TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118142",
"telephone_number": "212-705-8785",
"fax_number": "212-370-4390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATERNITY MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "WORTH",
"authorized_official_first_name": "JAQUELINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "212-741-2229",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.