Individual provider Active NPI

Maria Liza Eden Giammaria, MD, MPH, FACPH

  • Phlebology Physician
  • New York, NY
National Provider Identifier
1851528616
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
25MA09058000 Issued in NJ
Practice address
20 E 46TH St FL 9
New York, NY 10017-9249
Phone
(646) 783-2570
Fax
(646) 219-0082
NPI assigned
Jun 18, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 25MA09058000 NJ
Sports Medicine (Preventive Medicine) Physician 2083S0010X ME108323 FL
Surgery Physician 208600000X ME108323 FL
Surgery Physician 208600000X 25MA09058000 NJ
Phlebology Physician 202K00000X ME108323 FL
Phlebology Physician 202K00000X 25MA09058000 NJ Primary

Addresses

Primary practice location

20 E 46TH St FL 9
New York, NY 10017-9249

Mailing address

PO Box 330030
Miami, FL 33233-0030
Phone (646) 783-2570

Other practice location 1

906 NE 26th Ave
Fort Lauderdale, FL 33304-3607
Phone (954) 376-6625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171113003301 FL Practitioner - Vascular Surgery 2264685601 Reassigns benefits to 2 organizations
I20180326001301 NY Practitioner - General Surgery 2264685601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

1677 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4845
Phone (904) 373-1237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108323FLMDSurgery Physician
25MA09058000NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Foot & Ankle Specialists CurrentSince Jul 30, 2021 Accepting new patients
Maria Liza Eden Giammaria MD, PLLC Current Accepting new patients
Sinai Diagnostics and Interventional Radiology, P.C. CurrentSince Feb 26, 2018 Accepting new patients
Certified Foot & Ankle Specialists CurrentSince Jul 30, 2021 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Phlebology CurrentSince Jan 1, 2024 Accepting new patients
Eden Vascular and Veins-FL Phlebology Current Accepting new patients
Boca Radiology Group PA Past Accepting new patients
St. Johns Vein Center, Inc. Phlebology PastSince Jan 1, 2024 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 180
Boca Raton, FL 33487
Phone (561) 939-0600

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

6405 N Federal Hwy
Ste 405
Ft Lauderdale, FL 33308
Phone (954) 771-5900

906 NE 26th Ave
Ft Lauderdale, FL 33304
Phone (954) 376-6625

13241 Bartram Park Blvd
Unit 101
Jacksonville, FL 32258
Phone (904) 373-1237

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

1677 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 276-2303

2560 Ocean Ave
Brooklyn, NY 11229
Phone (718) 615-4100

20 E 46th St
Fl 9
New York, NY 10017
Phone (212) 404-8090

Interoperability endpoints

  • Direct secure messaging: marializaedengiammaria@cvsapa.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851528616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330030",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332330030",
            "telephone_number": "646-783-2570",
            "fax_number": "646-461-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179249",
            "telephone_number": "646-783-2570",
            "fax_number": "646-219-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 NE 26th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333043607",
            "country_code": "US",
            "telephone_number": "954-376-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDEN GIAMMARIA",
        "first_name": "MARIA LIZA",
        "credential": "MD, MPH, FACPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA09058000",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME108323",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME108323",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09058000",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME108323",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NJ",
            "license": "25MA09058000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.