Maxwell Apenteng

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

685381 Issued in NY

Practice address

1248 E 224TH St Apt 2
Bronx, NY 10466-5806

Phone

(347) 202-7407

Fax

(347) 202-7407

NPI assigned

Apr 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1083102008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 E 224TH ST APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665806",
            "telephone_number": "347-202-7407",
            "fax_number": "347-202-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 224TH ST APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665806",
            "telephone_number": "347-202-7407",
            "fax_number": "347-202-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APENTENG",
        "first_name": "MAXWELL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "685381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "805082191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amma Apawu
• Selasie Kwaku Apeadu, MD
• Akofa F. Apedo
• Jillian Cher Apelbaum
• Selena Apelis, D.C.
• Apex Adult Day Care Services, LLC
• Gabriel Jonah Apfel
• Stephen David Apfelroth, M.D., PH.D.
• Marietta Api, NP
• Jill Apilado, LCSW

• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.