Maximilian Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAXIMILIAN MEDICAL, LLC

Practice address

21 Shafer PL
Hackensack, NJ 07601-6622

Phone

(201) 880-7802

Fax

(201) 880-7804

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

John Lee

Title

Owner

Phone

(201) 880-7802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1114371986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SHAFER PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016622",
            "telephone_number": "201-880-7802",
            "fax_number": "201-880-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SHAFER PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016622",
            "telephone_number": "201-880-7802",
            "fax_number": "201-880-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMILIAN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-880-7802"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Mauri, PHARMD
• Chana Max, MSN, FNP-C
• Maxim Healthcare Services Inc
• Maxim Healthcare Services, Inc
• Maxim Healthcare Services, Inc.
• Maximum Health & Wellness Hackensack LLC
• Sherri Ann Mayans, APN
• Adam Seth Mayer, MD
• Janae Mayo, DPT
• Miguel Angel Mayorga, D.P.T.

• Durable Medical Equipment & Medical Supplies in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.