Provider Demographics
NPI:1366603763
Name:MAGGIO, LINDSAY (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:MAGGIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 LENOX AVE # 158
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5120
Mailing Address - Country:US
Mailing Address - Phone:908-643-6385
Mailing Address - Fax:800-881-4051
Practice Address - Street 1:208 LENOX AVE # 158
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5120
Practice Address - Country:US
Practice Address - Phone:908-643-6385
Practice Address - Fax:800-881-4051
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468135207V00000X, 207VM0101X
NJ25MA10976500207VM0101X, 207V00000X
171400000X
FLME123761207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No171400000XOther Service ProvidersHealth & Wellness Coach
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015267400Medicaid
FL150N7OtherBLUE CROSS BLUE SHIELD
FL150N7OtherBLUE CROSS BLUE SHIELD