Organization Active NPI

Louis M. Maisel, MD, PC

  • Specialist
  • New City, NY
National Provider Identifier
1104981687
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
178980 Issued in NY
Legal business name
LOUIS M. MAISEL, MD, PC
Practice address
20 Squadron Blvd
Suite 102
New City, NY 10956-5200
Phone
(845) 708-0900
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. Louis M. Maisel, MD
Title
Managing Partner
Phone
(845) 708-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 178980 NY Primary

Addresses

Primary practice location

20 Squadron Blvd
Suite 102
New City, NY 10956-5200

Mailing address

PO Box 547
New City, NY 10956-0547
Phone (845) 708-0900

Other identifiers 1

IdentifierTypeStateIssuer
01474262MedicaidNY

National Provider Directory

National Provider Directory

Locations

2426 Eastchester Rd
Ste 203
Bronx, NY 10469
Phone (718) 708-7142

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1104981687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109560547",
            "telephone_number": "845-708-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SQUADRON BLVD",
            "address_2": "SUITE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565200",
            "telephone_number": "845-708-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS M. MAISEL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "MAISEL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "845-708-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "178980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01474262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.