Maxine L Brooks, CNM, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

363LW0102X Issued in NY

Practice address

11247 Queens Blvd
Suite 102
Forest Hills, NY 11375-7417

Phone

(718) 263-2986

Fax

(718) 544-6475

NPI assigned

May 5, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Maxine L Brooks Walsh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1003040114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD",
            "address_2": "SUITE 102",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757417",
            "telephone_number": "718-263-2986",
            "fax_number": "718-544-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD",
            "address_2": "SUITE 102",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757417",
            "telephone_number": "718-263-2986",
            "fax_number": "718-544-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MAXINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CNM, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "363LW0102X",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "367A00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAXINE",
            "last_name": "BROOKS WALSH",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "CNM, NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Brody, PH.D.
• Samuel Alan Brody, MD
• Nachmy Bronstein, D.C.
• Brooklyn Doc Medical P.C.
• Brooklyn Nuclear Spect Imaging, P.C.
• Yvette Brooks, R.N.
• Fay Brown, R.D.H.
• Jacqueline Diana Brown
• Jaleesa Brown
• Kiani Nayo Brown

• Women's Health Nurse Practitioner in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.