Active NPI
Maxwell Boev Medical Group PLLC
- Neurological Surgery Physician
- Rochester, NY
National Provider Identifier
1104197037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 137227
- Legal business name
- MAXWELL BOEV MEDICAL GROUP PLLC
- Practice address
- 1445 Portland Ave
Suite 304
Rochester, NY 14621-3036 - Phone
- (585) 342-7170
- Fax
- (585) 342-5855
- NPI assigned
- Jan 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Maxwell, MD
- Title
- Provider
- Phone
- (585) 342-7170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 137227 | NY | Primary |
Addresses
Primary practice location
1445 Portland Ave
Suite 304
Rochester, NY 14621-3036
Mailing address
1445 Portland Ave
Suite 304
Rochester, NY 14621-3036
Phone (585) 342-7170
National Provider Directory
National Provider DirectoryLocations
90 Office Pkwy
Lowr
Pittsford, NY 14534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333497600000",
"number": "1104197037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 PORTLAND AVE",
"address_2": "SUITE 304",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213036",
"telephone_number": "585-342-7170",
"fax_number": "585-342-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 PORTLAND AVE",
"address_2": "SUITE 304",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213036",
"telephone_number": "585-342-7170",
"fax_number": "585-342-5855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXWELL BOEV MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-24",
"last_updated": "2012-04-04",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "585-342-7170",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "NY",
"license": "137227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.