Maria L Wing MD P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

161772 Issued in NY

Legal business name

MARIA L WING MD P.C.

Practice address

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

Phone

(914) 235-8224

Fax

(914) 235-6940

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maria L Wing, M D

Title

President

Phone

(914) 235-8224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northridge Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457563645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333A NORTH AVE PMB 436",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10804",
            "telephone_number": "914-235-8224",
            "fax_number": "914-235-6940"
        },
        {
            "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": "10804",
            "telephone_number": "914-235-8224",
            "fax_number": "914-235-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA L WING MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-235-8224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "161772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01060631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northridge Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcelo C. Laiz, MD, PC
• Valerie Marchionno, M.S., ED.
• Jacqueline Susan Marconi
• Reinelda Sanchez Marcos, MS ED.
• Milagros Karinee Marenco Sanchez, SA-C
• Katherine Maria
• Marilyn Tucker Viselli Ms Rd CDN Inc
• Jennifer Marin
• Nina C Marino, R.N.
• Mark R. Weigle, MD, P.C.

• Specialist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.