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MAIDEN LANE MEDICAL, PLLC
NPI 1497291074
Obstetrics & Gynecology - Gynecology in New York, NY

Active since January 06, 2017CLIA Certified · 2 labs
90 MAIDEN LN, THIRD FLOOR, NEW YORK, NY 10038(646) 290-9560(212) 532-4362 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maiden Lane Medical, Pllc NPPES

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

MAIDEN LANE MEDICAL, PLLC (NPI 1497291074) is a healthcare organization registered as a gynecology in New York, New York and active in the NPI registry since January 2017. The organization holds 2 active CLIA laboratory certificates and lists Kenneth Levey, President, as its authorized official.

NPPES Registry Identity

NPI1497291074
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameMAIDEN LANE MEDICAL, PLLC
Location Address90 MAIDEN LN, THIRD FLOORNew York, NY 10038-4831
Mailing Address90 Maiden Ln, Third FloorNew York, NY 10038-4831 · (646) 290-9560 · Fax (212) 532-4362
Phone(646) 290-9560
Fax(212) 532-4362
Organization SubpartNo
Authorized OfficialKenneth LeveyPresident · (646) 290-9560
Enumeration DateJanuary 6, 2017
✔ NPI 1497291074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 220289
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
90 MAIDEN LN, New York, NY 10038
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maiden Lane Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Maiden Lane Medical, PLLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Obstetrics/Gynecology13
Diagnostic Radiology2
Nurse Practitioner2
Pathology2
Urology2
Endocrinology1
Internal Medicine1
Pain Management1
1 other specialty1

Nearest to this location (20)

See all 25
Rachel Barr, M.D.
Obstetrics/Gynecology
NPI 1992931307
90 MAIDEN LN RM 300
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Emily Blanton
Obstetrics/Gynecology
NPI 1346530151
90 MAIDEN LN FL 3
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Sarah Chacko, MD
Obstetrics/Gynecology
NPI 1245327345
90 MAIDEN LN FL 3
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Janette Davison, M.D.
Obstetrics/Gynecology
NPI 1295979516
90 MAIDEN LN THIRD FLOOR
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Alexandra Fleary, M.D.
Obstetrics/Gynecology
NPI 1114305463
90 MAIDEN LN RM 300
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Sanika Gadkari, MD
Obstetrics/Gynecology
NPI 1063972735
90 MAIDEN LN RM 300
New York, NY 10038
(646) 290-9560
✔ PECOSSame address
David Kaufman, MD
Urology
NPI 1104914100
90 MAIDEN LN FL 3
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Savita Sukha, APN
Nurse Practitioner
NPI 1942716691
90 MAIDEN LN RM 300
New York, NY 10038
(646) 290-9560
✔ PECOSSame address
Jennifer Zocca, M.D.
Pain Management
NPI 1780975326
90 MAIDEN LN FL 3
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Marla Abramson, MD
Internal Medicine
NPI 1801884309
90 MAIDEN LN FL 3
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Kenneth Levey, M.D.
Obstetrics/Gynecology
NPI 1942294350
90 MAIDEN LN THIRD FLOOR
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Jay Matut, MD
Obstetrics/Gynecology
NPI 1760443394
90 MAIDEN LN RM 300
New York, NY 10038
(646) 290-9560
✔ PECOSSame address
Aruna Yedla, MD
Obstetrics/Gynecology
NPI 1154881688
90 MAIDEN LN RM 300
New York, NY 10038
(646) 290-9560
✔ PECOS✔ Accepts MedicareSame address
Ilene Fischer, M.D.
Obstetrics/Gynecology
NPI 1669420857
419 PARK AVE S 13TH FLOOR SUITE 1305
New York, NY 10016
(212) 545-5400
✔ PECOS✔ Accepts Medicare2.8 mi
Page Baker
Physical Therapist in Private Practice
NPI 1699073577
374 8TH ST APT 1A
Brooklyn, NY 11215
(917) 941-3666
✔ Accepts Medicare3.0 mi
Shah Giashuddin, MD
Pathology
NPI 1538370929
506 6TH ST ROOM: 2047, DEPT. OF PATHOLOGY AND LAB. MEDICINE
Brooklyn, NY 11215
(718) 780-5630
✔ PECOS✔ Accepts Medicare3.1 mi
Jill-Ann Swenson
Obstetrics/Gynecology
NPI 1033437611
506 6TH ST
Brooklyn, NY 11215
(718) 780-3731
✔ PECOS✔ Accepts Medicare3.1 mi
Fernando Mariz, M.D.
Obstetrics/Gynecology
NPI 1043619273
222 E 34TH ST
New York, NY 10016
(646) 290-9560
✔ PECOS✔ Accepts Medicare3.1 mi
Ron Bakal, MD
Urology
NPI 1477579639
461 PARK AVE S 5TH FLOOR
New York, NY 10016
(212) 679-6464
✔ PECOS✔ Accepts Medicare4.3 mi
Gillian Hans, CNM, NP
Nurse Practitioner
NPI 1346362258
464 77TH ST
Brooklyn, NY 11209
(718) 680-8383
✔ PECOS5.5 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 33D1073563

Maiden Lane Medical PLLC · New York, NY
Active · expires Sep 11, 2027
CLIA Number33D1073563
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorDr. Kenneth A. Levey
Laboratory Phone(646) 290-9560
Laboratory LocationMaiden Lane Medical PLLC18 East 41st Street, First Floor, New York, NY 10017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2161582

Maiden Lane Medical PLLC - Upper East Side · New York, NY
Active · expires Feb 5, 2027
CLIA Number33D2161582
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDr. Kenneth A. Levey
Laboratory Phone(646) 290-9560
Laboratory LocationMaiden Lane Medical PLLC - Upper East Side110 East 60th Street, New York, NY 10022
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D2046630

Maiden Lane Medical Pllcr · New York, NY
Expired · Sep 30, 2026
CLIA Number33D2046630
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Tal Oren
Laboratory Phone(646) 290-9560
Laboratory LocationMaiden Lane Medical Pllcr90 Maiden Lane, Third Floor, New York, NY 10038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Maiden Lane Medical, PLLC's NPI number?

The NPI number for Maiden Lane Medical, PLLC is 1497291074. It was assigned to this organization in the NPPES registry on January 6, 2017.

Where is Maiden Lane Medical, PLLC located?

Maiden Lane Medical, PLLC is located at 90 Maiden Ln Third Floor, New York, NY 10038. The listed phone number is (646) 290-9560.

What is Maiden Lane Medical, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Maiden Lane Medical, PLLC enrolled in Medicare?

Yes. Maiden Lane Medical, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maiden Lane Medical, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 9 Medicare specialties reassign their Medicare billing to Maiden Lane Medical, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (13), Diagnostic Radiology (2) and Nurse Practitioner (2). Of these, 13 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Maiden Lane Medical, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Maiden Lane Medical, PLLC was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.