MARINA PODVAL PC
NPI 1508904764
Urology in Flushing, NY

Active since February 01, 2007CLIA 33D1010012 · Waiver
4332 KISSENA BLVD, SUITE LA, FLUSHING, NY 11355(718) 939-0609(718) 939-4509 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Marina Podval Pc NPPES

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

MARINA PODVAL PC (NPI 1508904764) is a healthcare organization registered as an urology in Flushing, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Marina Podval, Owner, as its authorized official.

NPPES Registry Identity

NPI1508904764
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMARINA PODVAL PC
Location Address4332 KISSENA BLVD, SUITE LAFlushing, NY 11355-2934
Mailing Address43-32 Kissena Blvd. LaFlushing, NY 11355 · (718) 939-0609 · Fax (718) 939-4509
Fax(718) 939-4509
Organization SubpartNo
Authorized OfficialMarina PodvalOwner · (718) 939-0609
Enumeration DateFebruary 1, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1508904764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 236385-1
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedInternal MedicineTaxonomy 207R00000X · License 214459 (NY)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 241828 (NY)
4332 KISSENA BLVD, Flushing, NY 11355

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

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 33D1010012

Marina Podval MD · Flushing, NY
Active · expires Mar 3, 2027
CLIA Number33D1010012
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorDr. Marina Podval
Laboratory Phone(718) 939-0609
Laboratory LocationMarina Podval MD4332 Kissena Blvd Suite La, Flushing, NY 11355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, 12G
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, APT. 11J
FLUSHING, NY 11355
Pediatrics
4332 KISSENA BLVD, APT 3 V
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, APT 12L
FLUSHING, NY 11355
Dentist
4332 KISSENA BLVD, #8V/1
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, APT. 14M
FLUSHING, NY 11355
Internal Medicine
4332 KISSENA BLVD, LA
FLUSHING, NY 11355

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 Marina Podval PC's NPI number?

The NPI number for Marina Podval PC is 1508904764. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Marina Podval PC located?

Marina Podval PC is located at 4332 Kissena Blvd Suite La, Flushing, NY 11355. The listed phone number is (718) 939-0609.

What is Marina Podval PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Marina Podval PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1010012) is associated with this NPI, valid through March 3, 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 Marina Podval PC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.