Individual provider Active NPI

Lawrence Maayan, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1316143480
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD466425 Issued in PA
Practice address
1419 Shakespeare Ave
Bronx, NY 10452-1851
Phone
(713) 732-7080
Fax
(718) 732-7090
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 040591 CT
Child & Adolescent Psychiatry Physician 2084P0804X 215812 NY
Child & Adolescent Psychiatry Physician 2084P0804X MD466425 PA Primary

Addresses

Primary practice location

1419 Shakespeare Ave
Bronx, NY 10452-1851

Mailing address

270 Greenwich Ave
Greenwich, CT 06830-6530
Phone (203) 559-1895

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022002286 NY Practitioner - Psychiatry 3577872019 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040591CTMDChild & Adolescent Psychiatry Physician
215812NYMDChild & Adolescent Psychiatry Physician
MD466425PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Aug 20, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Albany Medical College CurrentSince Aug 20, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Oct 25, 2017 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Oct 25, 2017 Accepting new patients
Mid-Fairfield Child Guidance Center Past Accepting new patients
Town of Branford Child & Adolescent Psychiatry PastSince Nov 6, 1990 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: lawrencemaayan@mai.allscriptsdirect.net
  • Direct secure messaging: lmaayan1284543@nychhc.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1316143480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 GREENWICH AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306530",
            "telephone_number": "203-559-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SHAKESPEARE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521851",
            "telephone_number": "713-732-7080",
            "fax_number": "718-732-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAYAN",
        "first_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "040591",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "215812",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD466425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.