Maternity Medical Group PLLC
Obstetrics & Gynecology, Obstetrics in New York, NY. Organization (NPI-2).
Details
- NPI
- 1336716059
- Entity type
- Organization (NPI-2)
- Legal business name
- Maternity Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | – | – | Yes |
| 367A00000X | Advanced Practice Midwife | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – |
Practice location
101 W 12th StNew York, NY 10011-8142
Phone 212-705-8785 · Fax 212-370-4390
Mailing address
1225 Park Ave # 1dNew York, NY 10128-1758
Phone 212-741-2229 · Fax 212-741-2228
Authorized official
Jaqueline M Worth
Manager
2127412229
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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