Active NPI
Marina Podval PC
- Urology Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 236385-1
- Legal business name
- MARINA PODVAL PC
- Practice address
- 4332 Kissena Blvd
Suite la
Flushing, NY 11355-2934 - Phone
- (718) 939-0609
- Fax
- (718) 939-4509
- NPI assigned
- Feb 1, 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
- Marina Podval, MD
- Title
- Owner
- Phone
- (718) 939-0609
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 214459 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 241828 | NY | |
| Urology Physician | 208800000X | 236385-1 | NY | Primary |
Addresses
Primary practice location
4332 Kissena Blvd
Suite la
Flushing, NY 11355-2934
Mailing address
43-32 Kissena Blvd. la
Flushing, NY 11355
Phone (718) 939-0609
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 |
|---|---|---|---|
| 33D1010012 | Marina Podval MD | Certificate of waiver | Mar 3, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Marina Podval Medical PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1245554609
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1982717237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508904764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43-32 KISSENA BLVD. LA",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-939-0609",
"fax_number": "718-939-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4332 KISSENA BLVD",
"address_2": "SUITE LA",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552934",
"telephone_number": "718-939-0609",
"fax_number": "718-939-4509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA PODVAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PODVAL",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-939-0609",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "214459",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "241828",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "NY",
"license": "236385-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.