Active NPI
Maria Sandra Cely, MD
- Developmental - Behavioral Pediatrics Physician
- Maitland, FL
National Provider Identifier
1801852967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- ME100098
- Practice address
- 668 N Orlando Ave Ste 206
Maitland, FL 32751-4459 - Phone
- (407) 765-5437
- Fax
- (888) 972-7981
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | ME100098 | FL | Primary |
| Psychiatry Physician | 2084P0800X | D0054161 | MD |
Addresses
Primary practice location
668 N Orlando Ave Ste 206
Maitland, FL 32751-4459
Mailing address
615 E Princeton St
Suite 401
Orlando, FL 32803-1456
Phone (407) 898-6005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 392100000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211106000122 | FL | Order and Referring Only - Pediatric Medicine | 0244225506 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlantic Healthcare Group | Past | Accepting new patients | |
| Harbor Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1831110873
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1801852967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST",
"address_2": "SUITE 401",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031456",
"telephone_number": "407-898-6005",
"fax_number": "407-898-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 N ORLANDO AVE STE 206",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514459",
"telephone_number": "407-765-5437",
"fax_number": "888-972-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELY",
"first_name": "MARIA",
"middle_name": "SANDRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "FL",
"license": "ME100098",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0054161",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392100000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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- Central Florida Endocrine & Diabetes Consultants P a
- Central Florida Integrated Wellness Clinic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.