Active NPI
Nicholas Alan Maenza, DO
- Emergency Medicine Physician
- Poughkeepsie, NY
National Provider Identifier
1265054522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 320605
- Practice address
- 30 Livingston St
Poughkeepsie, NY 12601-4706 - Phone
- (845) 454-8500
- NPI assigned
- May 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Emergency Medicine Physician | 207P00000X | 320605 | NY | Primary |
Addresses
Primary practice location
30 Livingston St
Poughkeepsie, NY 12601-4706
Mailing address
655 Rock Cut Rd
Walden, NY 12586-2454
Phone (914) 419-4556
Other practice location 1
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1759
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1300
8881 State Route 97
Callicoon, NY 12723-5052
Phone (845) 887-5530
Hospital & facility affiliations
- Garnet Health Medical Center
- Garnet Health Medical Center Catskills
- Vassar Brothers Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.27 of 100
- Quality
- 83.84
- Improvement activities
- 40
- Cost
- 77.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320605 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sullivan Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Orange Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
Locations
8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
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.
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1043589682
-
- Emergency Medicine Physician
- Harris, NY
- NPI 1528338480
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1265054522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 ROCK CUT RD",
"city": "WALDEN",
"state": "NY",
"postal_code": "125862454",
"telephone_number": "914-419-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LIVINGSTON ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014706",
"telephone_number": "845-454-8500"
}
],
"practiceLocations": [
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-1759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAENZA",
"first_name": "NICHOLAS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-10",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "320605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.