Active NPI
Brian Christopher Maire, B.A.
- Specialist
- West Babylon, NY
National Provider Identifier
1366704322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1082505
- Practice address
- 65 Hawthorne Ave
West Babylon, NY 11704-7307 - Phone
- (631) 617-2470
- NPI assigned
- Jun 14, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1082505 | NY | Primary |
Addresses
Primary practice location
65 Hawthorne Ave
West Babylon, NY 11704-7307
Mailing address
65 Hawthorne Ave
West Babylon, NY 11704-7307
Phone (631) 617-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1082505 | Other | NY | SPECIAL EDUCATOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082505 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1366704322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 HAWTHORNE AVE",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117047307",
"telephone_number": "631-617-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 HAWTHORNE AVE",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117047307",
"telephone_number": "631-617-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIRE",
"first_name": "BRIAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1082505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIAL EDUCATOR",
"identifier": "1082505",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.