William A Maiorino, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

0830691 Issued in NY

Practice address

320 Montauk Highway
South Bay OBGYN PC
West Islip, NY 11795-4401

Phone

(631) 587-2500

Fax

(631) 587-0292

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1740392174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESEARCH WAY",
            "address_2": "UNIVERSITY ASSOCIATES OBGYN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336401",
            "telephone_number": "631-675-2125",
            "fax_number": "631-675-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MONTAUK HIGHWAY",
            "address_2": "SOUTH BAY OBGYN PC",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954401",
            "telephone_number": "631-587-2500",
            "fax_number": "631-587-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORINO",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "0830691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0033122",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "133871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Powers Macgown, CAT-LP
• Robin Cindy Mackoff, DO
• Jill Suzanne Macleese, DVM
• Vemkata Maddineni, M.D.
• Kristen Donna Mailand, D.O.
• William Albert Maiorino Jr., MD
• Ira Joel Malter, MD
• Inayat Mamoor, DDS
• Robyna Mamoor, DDS
• Anastasios Manaris, MD

• Gynecology Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.