OrganizationActive
Maternity Medical Group PLLC
NPI 1336716059 · Obstetrics Physician · New York, NY
Provider details
- NPI number
- 1336716059
- Entity type
- Organization
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jaqueline Worth, Manager
Practice location
101 W 12th St
New York, NY 10011-8142
Phone: (212) 705-8785
Fax: (212) 370-4390
Mailing address
1225 Park Ave # 1d
New York, NY 10128-1758
Registry dates
- Enumerated
- 2021-06-10
- Last updated
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.