NPIMap

Organization Active NPI

Maxim

  • General Acute Care Hospital
  • Camillus, NY
National Provider Identifier
1194130682
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
030004-1 Issued in NY
Legal business name
MAXIM
Practice address
5474 Munro Rd
Camillus, NY 13031-9799
Phone
(315) 657-7646
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Rachel Davidoff, NRM
Title
National Recruiting Manager
Phone
(813) 371-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 030004-1 NY Primary

Addresses

Primary practice location

5474 Munro Rd
Camillus, NY 13031-9799

Mailing address

5474 Munro Rd
Camillus, NY 13031-9799
Phone (315) 657-7646

National Provider Directory

National Provider Directory
Tax ID family
Maxim2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1194130682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5474 MUNRO RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130319799",
            "telephone_number": "315-657-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 MUNRO RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130319799",
            "telephone_number": "315-657-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "NATIONAL RECRUITING MANAGER",
        "authorized_official_telephone_number": "813-371-3412",
        "authorized_official_credential": "NRM"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "030004-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.