NPIMap

Organization Active NPI

Maple Medical Services, P.C.

  • Obstetrics Physician
  • Williamsville, NY
National Provider Identifier
1871589861
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
187420 Issued in NY
Legal business name
MAPLE MEDICAL SERVICES, P.C.
Practice address
41 Maple Rd
Williamsville, NY 14221-2918
Phone
(716) 631-1045
Fax
(716) 631-1365
NPI assigned
Sep 25, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Theodore Gerard Costich, M.D.NPI 1245331818
Title
Owner
Phone
(716) 631-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 187420 NY
Obstetrics Physician 207VX0000X 187420 NY Primary

Addresses

Primary practice location

41 Maple Rd
Williamsville, NY 14221-2918

Mailing address

41 Maple Rd
Williamsville, NY 14221-2918
Phone (716) 631-1045

Other identifiers 3

IdentifierTypeStateIssuer
01406720MedicaidNY
0709667OtherNYIHA PROVIDER #
00020006503OtherNYUNIVERA ID #

Other names 1

  • Theodore G. Costich, MD Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871589861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212918",
            "telephone_number": "716-631-1045",
            "fax_number": "716-631-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212918",
            "telephone_number": "716-631-1045",
            "fax_number": "716-631-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COSTICH",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-631-1045",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "187420",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "187420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01406720",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA PROVIDER #",
            "identifier": "0709667",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA ID #",
            "identifier": "00020006503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theodore G. Costich, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.