Organization Active NPI

Advanced Women'S OBGYN Health Care of L.I. P.C.

  • Obstetrics Physician
  • Valley Stream, NY
National Provider Identifier
1487833554
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
125595 Issued in NY
Legal business name
ADVANCED WOMEN'S OBGYN HEALTH CARE OF L.I. P.C.
Practice address
20 W Lincoln Ave
Suite 101
Valley Stream, NY 11580-5730
Phone
(516) 825-1885
Fax
(516) 568-0356
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Maria E Levada, M.D.NPI 1558406215
Title
President
Phone
(516) 825-1885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 125595 NY Primary

Addresses

Primary practice location

20 W Lincoln Ave
Suite 101
Valley Stream, NY 11580-5730

Mailing address

20 W Lincoln Ave
Suite 101
Valley Stream, NY 11580-5730
Phone (516) 825-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000026 NY Part B Supplier - Clinic/Group Practice 3870564552 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Stream, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1103895Advanced Women'S Health Care20 West Lincoln Avenue Suite 101, Valley Stream, NY 11580Provider-performed microscopyAug 19, 2027

National Provider Directory

National Provider Directory

Locations

20 W Lincoln Ave
Ste 101
Valley Stream, NY 11580
Phone (516) 706-0614

11 W Lincoln Ave
Valley Stream, NY 11580
Phone (516) 775-2127

Practitioners & affiliated clinicians

Practitioners 2

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1487833554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE",
            "address_2": "SUITE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805730",
            "telephone_number": "516-825-1885",
            "fax_number": "516-568-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE",
            "address_2": "SUITE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805730",
            "telephone_number": "516-825-1885",
            "fax_number": "516-568-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOMEN'S OBGYN HEALTH CARE OF L.I. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "LEVADA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-825-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "125595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.