Maximo Jose D'Oleo, M.D.
Individual provider Active NPI Pediatrics Physician · Homer, NY
NPI 1356598973 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1356598973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 274854 (NY)
- Practice address
- 3 Technology PL
Homer, NY 13077-1526 - Phone
- (607) 753-3774
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200507000185 | NY | Practitioner - Pediatric Medicine | 0840621843 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274854 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Network of Central New York, Inc. | Current |
Accepting new patients | |
| St. Joseph'S Hospital & Medical Center | Pediatrics | Current |
Accepting new patients |
| St. Joseph'S Hospital Yonkers | Current | Accepting new patients | |
| St Josephs Hospital Yonkers | Current |
Accepting new patients | |
| Family Health Network of Central New York, Inc. | Pediatrics | Current |
Accepting new patients |
| Guthrie Cortland Medical Center | Past | Accepting new patients | |
| Pediatrics 2000 III PLLC | Past | Accepting new patients | |
| Family Health Network of Central New York, 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
85 S West St
Homer, NY 13077
Phone (607) 753-3797
3 Technology Pl
Homer, NY 13077
Phone (607) 753-3774
24 Albro Rd
Marathon, NY 13803
Phone (607) 849-3180
1 E Main
Marathon, NY 13803
Phone (607) 849-3900
81 S Broadway
Yonkers, NY 10701
Phone (914) 375-3200
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIAEAA
- maximo.d.oleo.1@28343.direct.athenahealth.com
- maximo.doleo.p1@direct.saintjosephs.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 274854 | NY | Yes |
Addresses
Primary practice location
3 Technology PL
Homer, NY 13077-1526
Mailing address
85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03055447 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Homer | Health Information Exchange (HIE) |
Other providers in Homer, NY
- Alyssa Rae Courter
- Danielle Angelique Craft
- Lois Anne Creighton
- Patricia J Curtin
- Rebecca Jane Cutler
- Jaclyn Marie Davis
- Jodie Lynn Delage
- Department of Medicine Medical Service Group
- Jamie Lynn Driscoll
- Heidi Jean Effinger
All providers in Homer, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.