Individual provider Active NPI

Paul Maggio, NP

  • Acute Care Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1174857403
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430481-1 Issued in NY
Practice address
45 Reade PL
Dyson Cancer Center & Vassar Hospital
Poughkeepsie, NY 12601-3947
Phone
(845) 483-6264
Fax
(845) 483-6407
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F430481-1 NY Primary

Addresses

Primary practice location

45 Reade PL
Dyson Cancer Center & Vassar Hospital
Poughkeepsie, NY 12601-3947

Mailing address

100 Franklin St
Poughkeepsie, NY 12601-4341
Phone (845) 208-1573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131007001559 NY Practitioner - Nurse Practitioner 7810165073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chess Medicine PLLCGroup PAC ID 6406260736, 16 clinicians

Practice addresses (Care Compare)

100 New Turnpike Rd
Troy, NY 12182-1412
Phone (203) 666-8145

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F430481-1NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jun 4, 2018 Accepting new patients
Chess Medicine PLLC CurrentSince Feb 18, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 4, 2018 Accepting new patients

Locations

185 Route 312
Brewster, NY 10509
Phone (845) 225-2700

3525 Baychester Ave
Bronx, NY 10466
Phone 71867063001740

1050 E 230th St
Bronx, NY 10466
Phone (718) 654-5875

1229 Trumansburg Rd
Ithaca, NY 14850
Phone (315) 797-3570

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

6060 Armor Rd
Orchard Park, NY 14127
Phone (716) 662-2544

101 Creekside Dr
Painted Post, NY 14870
Phone (570) 561-2982

100 Franklin St
Poughkeepsie, NY 12601
Phone (845) 454-4000

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

7 Hemion Rd
Ste 110
Suffern, NY 10901

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

Philadelphia, PA 19195

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1174857403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014341",
            "telephone_number": "845-208-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "address_2": "DYSON CANCER CENTER & VASSAR HOSPITAL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-483-6264",
            "fax_number": "845-483-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430481-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.