NPIMap

Organization Active NPI

Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Suffolk, VA
National Provider Identifier
1821133174
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MID-ATLANTIC WOMENS CARE PLC
Practice address
2790 Godwin Blvd
Suite 360
Suffolk, VA 23434-8151
Phone
(757) 539-3911
Fax
(757) 925-0615
NPI assigned
Feb 21, 2007
Organization subpart
Yes
Parent organization
MID-ATLANTIC WOMENS CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Benigno Federici, M.D.
Title
President
Phone
(757) 539-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2790 Godwin Blvd
Suite 360
Suffolk, VA 23434-8151

Mailing address

2790 Godwin Blvd
Suite 360
Suffolk, VA 23434-8151
Phone (757) 539-3911

Other practice location 1

5833 Harbour View Blvd Ste 360
Suffolk, VA 23435-3760
Phone (757) 215-0340

Other names 1

  • Specialists for Women Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000607 VA Part B Supplier - Clinic/Group Practice 8820998156 Receives reassigned benefits from 223 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, VA; Richmond, VA; Roanoke, VA; Suffolk, VA; Virginia Beach, VA; Williamsburg, VA; Chesapeake, VA; Franklin, VA…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Part of
Tidewater Phys for Wome

Locations

1510 Breezeport Way
Ste 600
Suffolk, VA 23435
Phone (757) 539-3911

5833 Harbour View Blvd
Ste 360
Suffolk, VA 23435
Phone (757) 215-0340

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1821133174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD",
            "address_2": "SUITE 360",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348151",
            "telephone_number": "757-539-3911",
            "fax_number": "757-925-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD",
            "address_2": "SUITE 360",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348151",
            "telephone_number": "757-539-3911",
            "fax_number": "757-925-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5833 Harbour View Blvd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353760",
            "country_code": "US",
            "telephone_number": "757-215-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC WOMENS CARE PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC WOMENS CARE PLC",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FEDERICI",
        "authorized_official_first_name": "BENIGNO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-539-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialists for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.