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MAYFIELD MEDICAL GROUP LLC
NPI 1063508125
Pediatrics in White Plains, NY

Active since October 05, 2006CLIA 33D1012448 · Waiver
16 NORTH BROADWAY, SUITE LMG, WHITE PLAINS, NY 10601(914) 686-1848(914) 397-0001 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mayfield Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYFIELD MEDICAL GROUP LLC (NPI 1063508125) is a healthcare organization registered as a pediatrics in White Plains, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Michele Linda Lee Bailey, General Partner, as its authorized official.

NPPES Registry Identity

NPI1063508125
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAYFIELD MEDICAL GROUP LLC
Location Address16 NORTH BROADWAY, SUITE LMGWhite Plains, NY 10601
Mailing Address16 North Broadway, Suite LmgWhite Plains, NY 10601 · (914) 686-1848 · Fax (914) 397-0001
Phone(914) 686-1848
Fax(914) 397-0001
Organization SubpartNo
Authorized OfficialMichele Linda Lee BaileyGeneral Partner · (914) 686-1848
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063508125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
16 NORTH BROADWAY, White Plains, NY 10601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1012448

Mayfield Medical Group LLC · White Plains, NY
Active · expires May 11, 2027
CLIA Number33D1012448
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorMichele L. Bailey
Laboratory Phone(914) 686-1848
Laboratory LocationMayfield Medical Group LLC16 North Broadway Suite Lmg, White Plains, NY 10601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayfield Medical Group LLC's NPI number?

The NPI number for Mayfield Medical Group LLC is 1063508125. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Mayfield Medical Group LLC located?

Mayfield Medical Group LLC is located at 16 North Broadway Suite Lmg, White Plains, NY 10601. The listed phone number is (914) 686-1848.

What is Mayfield Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Mayfield Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1012448) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mayfield Medical Group LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.