Active NPI
Gary Gerard Maida, P.A.
- Medical Physician Assistant
- Staten Island, NY
National Provider Identifier
1487629242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001167
- Practice address
- 4982 Hylan Blvd
Staten Island, NY 10312-6399 - Phone
- (718) 967-6200
- Fax
- (718) 967-6314
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001167 | NY | Primary |
Addresses
Primary practice location
4982 Hylan Blvd
Staten Island, NY 10312-6399
Mailing address
414 Saint George Rd
Staten Island, NY 10306-1524
Phone (718) 967-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001167 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center - MMC Emergency Physicians FPP | Past | Accepting new patients | |
| Premier Pediatrics of New York, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
-
- Pediatrics Physician
- Staten Island, NY
- NPI 1750973368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487629242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 SAINT GEORGE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103061524",
"telephone_number": "718-967-6200",
"fax_number": "718-967-6314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4982 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126399",
"telephone_number": "718-967-6200",
"fax_number": "718-967-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIDA",
"first_name": "GARY",
"middle_name": "GERARD",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "001167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.