Active NPI
Maria Liza Eden Giammaria MD, PLLC
- Vascular Surgery Physician
- New York, NY
National Provider Identifier
1467955534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 261146-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Phlebology Physician
- New York, NY
- NPI 1851528616
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.