Individual provider Active NPI

Maxine Loftman

  • Licensed Practical Nurse
  • Jamaica, NY
National Provider Identifier
1124340492
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
280727 Issued in NY
Practice address
16937 144TH Rd
Jamaica, NY 11434-5929
Phone
(718) 978-7221
Fax
(718) 978-7003
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 280727 NY Primary

Addresses

Primary practice location

16937 144TH Rd
Jamaica, NY 11434-5929

Mailing address

1762 Schenectady Ave
Apt 1
Brooklyn, NY 11234-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
280727NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1124340492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SCHENECTADY AVE",
            "address_2": "APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16937 144TH RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345929",
            "telephone_number": "718-978-7221",
            "fax_number": "718-978-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTMAN",
        "first_name": "MAXINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "280727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.