Organization Active NPI

Maggie Tavdy Endocrinology and Metabolism.P.C.

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1861552150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
211927 Issued in NY
Legal business name
MAGGIE TAVDY ENDOCRINOLOGY AND METABOLISM.P.C.
Practice address
10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451
Phone
(718) 261-2992
Fax
(718) 261-2665
NPI assigned
Dec 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maggie Tavdy, M.D.
Title
Physician
Phone
(718) 261-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 211927 NY Primary

Addresses

Primary practice location

10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451

Mailing address

10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451
Phone (718) 261-2992

Other identifiers 2

IdentifierTypeStateIssuer
02471896MedicaidNY
02053189MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000180 NY Part B Supplier - Clinic/Group Practice 2062301484 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yonkers, NY; Forest Hills, NY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1053 Saw Mill River Rd
Ste 105
Ardsley, NY 10502
Phone (914) 693-2350

875 Yonkers Ave
Yonkers, NY 10704
Phone (914) 237-0959

984 N Broadway
Ste 305
Yonkers, NY 10701
Phone (914) 237-4377

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861552150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD STE 6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754451",
            "telephone_number": "718-261-2992",
            "fax_number": "718-261-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD STE 6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754451",
            "telephone_number": "718-261-2992",
            "fax_number": "718-261-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE TAVDY ENDOCRINOLOGY AND METABOLISM.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVDY",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-261-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "211927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02471896",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02053189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.