Individual provider Active NPI

Carla Williams, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1467852475
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
294762 Issued in NY
Practice address
315 W 57TH St Ste 208
New York, NY 10019-3149
Phone
(203) 557-9696
NPI assigned
Aug 27, 2014
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 294762 NY Primary

Addresses

Primary practice location

315 W 57TH St Ste 208
New York, NY 10019-3149

Mailing address

234 E 149TH St FL 5
Lincoln Medical and Mental Health Center, Dept. OBGYN
Bronx, NY 10451-5504

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
I20220523002246 NY Practitioner - Obstetrics/Gynecology 0143607630 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294762NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Urgent Medical Care PC CurrentSince Apr 12, 2024 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Feb 11, 2022 Accepting new patients
Mount Vernon Neighborhood Health Center Inc CurrentSince Feb 20, 2025 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. CurrentSince Feb 20, 2025 Accepting new patients
C. Williams Medical Ny PLLC Obstetrics & Gynecology CurrentSince Apr 20, 2025 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. Past Accepting new patients
Rejuvenating Fertility Li PLLC PastSince Feb 21, 2021 Accepting new patients

Locations

839 New York Ave
Huntington, NY 11743
Phone (347) 728-1604

107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cwilliams4034308@nychhc.direct-ci.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1467852475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST FL 5",
            "address_2": "LINCOLN MEDICAL AND MENTAL HEALTH CENTER, DEPT. OBGYN",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST STE 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193149",
            "telephone_number": "203-557-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "294762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.