Active NPI
Advanced Women'S OBGYN Health Care of L.I. P.C.
- Obstetrics Physician
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 125595
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1103895 | Advanced Women'S Health Care | Provider-performed microscopy | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Valley Stream, NY
- NPI 1518558493
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.