Organization Active NPI

Maria Liza Eden Giammaria MD, PLLC

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1467955534
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
261146-1 Issued in NY
Legal business name
MARIA LIZA EDEN GIAMMARIA MD, PLLC
Practice address
20 E 46TH St FL 9
New York, NY 10017-9249
Phone
(646) 783-2570
Fax
(646) 461-2545
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Maria Liza Eden-Giammaria, MD
Title
Medical Director
Phone
(646) 783-2570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 261146-1 NY Primary

Addresses

Primary practice location

20 E 46TH St FL 9
New York, NY 10017-9249

Mailing address

3191 Grand Ave Ste 30
Miami, FL 33133-5103
Phone (646) 783-2570

Other practice location 1

1049 5th Ave
New York, NY 10028-0115
Phone (646) 783-2570

Other names 1

  • Eden Vascular - NY Doing business as

National Provider Directory

National Provider Directory

Locations

3191 Grand Ave
Ste 30
Miami, FL 33133

Practitioners & 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": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1467955534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 GRAND AVE STE 30",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335103",
            "telephone_number": "646-783-2570",
            "fax_number": "646-461-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179249",
            "telephone_number": "646-783-2570",
            "fax_number": "646-461-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100280115",
            "country_code": "US",
            "telephone_number": "646-783-2570",
            "fax_number": "646-461-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARIA LIZA EDEN GIAMMARIA MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "EDEN-GIAMMARIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LIZA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-783-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "261146-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Vascular - NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2018; 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.