Organization Active NPI

Maiden Lane Medical, PLLC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1710669015
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MAIDEN LANE MEDICAL, PLLC
Practice address
222 E 34TH St
New York, NY 10016-4842
Phone
(646) 290-9560
NPI assigned
Aug 4, 2023
Organization subpart
Yes
Parent organization
MAIDEN LANE MEDICAL, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Kenneth Levey, MDNPI 1942294350
Title
Managing Partner
Phone
(646) 290-9560

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 & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

222 E 34TH St
New York, NY 10016-4842

Mailing address

90 Maiden LN RM 300
New York, NY 10038-4725
Phone (646) 290-9560

Other names 1

  • Maiden Lane Medical Women's Walk In Other name

National Provider Directory

National Provider Directory
Tax ID family
Maiden Lane Medical PLLC2 organizations share this tax ID, including this one
Part of
Maiden Lane Medical PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1710669015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN RM 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384725",
            "telephone_number": "646-290-9560",
            "fax_number": "212-532-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164842",
            "telephone_number": "646-290-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIDEN LANE MEDICAL, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIDEN LANE MEDICAL, PLLC",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "LEVEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "646-290-9560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maiden Lane Medical Women's Walk In",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 4, 2023; 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.