Individual provider Active NPI

Maximo Jose D'Oleo, MD

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1356598973
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
274854 Issued in NY
Practice address
235 Port Richmond Avenue
Staten Island, NY 10302
Phone
(718) 924-2254
Fax
(718) 442-0189
NPI assigned
Aug 26, 2008
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 274854 NY Primary

Addresses

Primary practice location

235 Port Richmond Avenue
Staten Island, NY 10302

Mailing address

439 Port Richmond Avenue
Staten Island, NY 10302
Phone (718) 924-2254

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

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
I20200507000185 NY Practitioner - Pediatric Medicine 0840621843 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Network of Central New York, Inc. Pediatrics CurrentSince Jun 3, 2024 Accepting new patients
St. Joseph's Hospital & Medical Center Pediatrics CurrentSince Apr 4, 2020 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince Apr 4, 2020 Accepting new patients
Family Health Network of Central New York, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Community Health Center of Richmond, Inc PastSince Jan 1, 2009 Accepting new patients
Guthrie Cortland Medical Center Past Accepting new patients
Family Health Network of Central New York, Inc. PastSince May 1, 2024 Accepting new patients
Pediatrics 2000 III PLLC Past Accepting new patients
Community Health Center of Richmond Inc Past Accepting new patients

Locations

2809 Cincinnatus Rd
Cincinnatus, NY 13040
Phone (607) 863-3200

24 Groton Ave
Cortland, NY 13045
Phone (607) 753-3774

711 Railroad St
De Ruyter, NY 13052
Phone (315) 852-3400

3 Technology Pl
Homer, NY 13077
Phone (607) 753-3774

85 S West St
Homer, NY 13077
Phone (607) 753-3797

1 E Main
Marathon, NY 13803
Phone (607) 849-3120

24 Albro Rd
Marathon, NY 13803
Phone (607) 753-3797

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

81 S Broadway
Yonkers, NY 10701
Phone (914) 375-3200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBJJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAEAA
  • Direct secure messaging: maximo.d.oleo.1@28343.direct.athenahealth.com
  • Direct secure messaging: maximo.doleo.p1@direct.saintjosephs.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1356598973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 PORT RICHMOND AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10302",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10302",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'OLEO",
        "first_name": "MAXIMO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2026-10-29",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "274854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3 Technology Pl",
            "city": "Homer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130771526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.