Active NPI
MG Medical Services, P.C.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Woodbury, NY
National Provider Identifier
1528511318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 274698
- Legal business name
- MG MEDICAL SERVICES, P.C.
- Practice address
- 9 Roseanne Dr
Woodbury, NY 11797-1905 - Phone
- (646) 508-9166
- NPI assigned
- Jul 27, 2016
- Last updated
- Dec 4, 2023
- 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
- Brian Flores
- Title
- Credentialing Specialist
- Phone
- (718) 313-0438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 274698 | NY | Primary |
Addresses
Primary practice location
9 Roseanne Dr
Woodbury, NY 11797-1905
Mailing address
4802 25TH Ave
Astoria, NY 11103-1021
Phone (718) 619-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4802 25th Ave
Astoria, NY 11103
Phone (718) 618-9010
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Elmhurst, NY
- NPI 1043470024
-
- Physician Assistant
- Bay Shore, NY
- NPI 1972521094
-
- Cardiovascular Disease Physician
- Albany, NY
- NPI 1679739551
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1033437827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1528511318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 25TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111031021",
"telephone_number": "718-619-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ROSEANNE DR",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971905",
"telephone_number": "646-508-9166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MG MEDICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-27",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "718-313-0438"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NY",
"license": "274698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.