Organization Active NPI

Maxwell Boev Medical Group PLLC

  • Neurological Surgery Physician
  • Rochester, NY
National Provider Identifier
1104197037
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
137227 Issued in NY
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

Updated by the provider on Apr 4, 2012

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.