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MATERNA NEW YORK MEDICINE PC
NPI 1962294108
Clinic/Center - Primary Care in New York, NY

Active since May 22, 2025CLIA 33D2326554 · Waiver
130 7TH AVE S, NEW YORK, NY 10014(917) 382-0336 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Materna New York Medicine Pc NPPES

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

MATERNA NEW YORK MEDICINE PC (NPI 1962294108) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Robyn Glessner, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1962294108
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMATERNA NEW YORK MEDICINE PC
Location Address130 7TH AVE SNew York, NY 10014-3132
Mailing Address130 7th Ave SNew York, NY 10014-3132
Phone(917) 382-0336
Organization SubpartNo
Authorized OfficialRobyn GlessnerMedical Director · (732) 801-4415
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1962294108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
130 7TH AVE S, New York, NY 10014
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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 33D2326554

Materna New York Medicine PC · New York, NY
Active · expires Jul 6, 2027
CLIA Number33D2326554
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorYaakov Abdelhak
Laboratory Phone(917) 382-0336
Laboratory LocationMaterna New York Medicine PC130 7th Ave South, New York, NY 10014
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 Materna New York Medicine PC's NPI number?

The NPI number for Materna New York Medicine PC is 1962294108. It was assigned to this organization in the NPPES registry on May 22, 2025.

Where is Materna New York Medicine PC located?

Materna New York Medicine PC is located at 130 7th Ave S, New York, NY 10014. The listed phone number is (917) 382-0336.

What is Materna New York Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Materna New York Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2326554) is associated with this NPI, valid through July 6, 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 Materna New York Medicine PC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.