Organization Active NPI

Maya's Medical P.C.

  • Obstetrics & Gynecology Physician
  • Rego Park, NY
National Provider Identifier
1972556603
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
231069 Issued in NY
Legal business name
MAYA'S MEDICAL P.C.
Practice address
9811 Queens Blvd
LL3
Rego Park, NY 11374-3323
Phone
(718) 743-7090
NPI assigned
May 17, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Maya Munarova
Title
President
Phone
(718) 730-0953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 231069 NY Primary

Addresses

Primary practice location

9811 Queens Blvd
LL3
Rego Park, NY 11374-3323

Mailing address

62 98 Saunders St.
#5L
Rego Park, NY 11374
Phone (718) 743-7090

Other identifiers 1

IdentifierTypeStateIssuer
231069MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1972556603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 98 SAUNDERS ST.",
            "address_2": "#5L",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-743-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD",
            "address_2": "LL3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743323",
            "telephone_number": "718-743-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA'S MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "MUNAROVA",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-730-0953"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "231069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.