Organization Active NPI

Marie V Hayag MD PC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1578063988
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
220131 Issued in NY
Legal business name
MARIE V HAYAG MD PC
Doing business as
Fifth Avenue Aesthetics
Practice address
875 5TH Ave # 1Cde
New York, NY 10065-4952
Phone
(212) 722-2055
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Marie V Hayag, MDNPI 1548308034
Title
Physician
Phone
(212) 722-2055

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 220131 NY Primary

Addresses

Primary practice location

875 5TH Ave # 1Cde
New York, NY 10065-4952

Mailing address

875 5TH Ave # 1Cde
New York, NY 10065-4952
Phone (212) 722-2055

Other names 1

  • Fifth Avenue Aesthetics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1578063988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 5TH AVE # 1CDE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654952",
            "telephone_number": "212-722-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 5TH AVE # 1CDE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654952",
            "telephone_number": "212-722-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE V HAYAG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "HAYAG",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-722-2055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "220131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fifth Avenue Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.