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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: July 26, 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
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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

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 · Jul 31, 2026
CLIA Number33D2046630
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Shah Giashuddin
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOUSHUMI SHOMA DATTA-THOMAS MD
Obstetrics & Gynecology
90 MAIDEN LN, SUITE 300
NEW YORK, NY 10038
New York County (646) 290-9560
MOTHER GOOSE HEALTH
Case Management
90 MAIDEN LN
NEW YORK, NY 10038
New York County (917) 566-6543
DAVID M KAUFMAN MD
Specialist
90 MAIDEN LN, FL 3
NEW YORK, NY 10038
New York County (646) 290-9560
DR. NIKOLE ALANA OSTROV MD
Obstetrics & Gynecology
90 MAIDEN LN, SUITE 300
NEW YORK, NY 10038
New York County (646) 290-9560
DOWNTOWN MEDICAL OFFICE BASED SURGERY, P.C.
Clinic/Center (Ambulatory Surgical)
90 MAIDEN LN, SUITE 300
NEW YORK, NY 10038
New York County (646) 290-9560
JANETTE ZUK DAVISON M.D.
Obstetrics & Gynecology (Gynecology)
90 MAIDEN LN, THIRD FLOOR
NEW YORK, NY 10038
New York County (646) 290-9560
MS. MICHELE LEVI MS
Counselor
90 MAIDEN LN, 4TH FLOOR
NEW YORK, NY 10038
New York County (212) 571-1180
EMILY EISCHEN
Obstetrics & Gynecology
90 MAIDEN LN
NEW YORK, NY 10038
New York County (646) 290-9560

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.

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 with the weekly NPPES data releases published by CMS.