Active NPI
Max Noel, M.D.
- Family Medicine Physician
- Elmont, NY
National Provider Identifier
1376513739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 230045
- Practice address
- 2366 Dutch Broadway
Elmont, NY 11003-3508 - Phone
- (516) 488-8595
- Fax
- (516) 488-8599
- NPI assigned
- Jan 26, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 230045 | NY | Primary |
Addresses
Primary practice location
2366 Dutch Broadway
Elmont, NY 11003-3508
Mailing address
2366 Dutch Broadway
Elmont, NY 11003-3508
Phone (516) 488-8595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02624091 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040805000200 | NY | Practitioner - Family Practice | 7618948316 | Practice locations: Elmont, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2366 Dutch Broadway
Elmont, NY 11003-3508
Phone (516) 488-8559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230045 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exigence Hospitalist Medical Services of Hornell, PLLC | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of New York, PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBFACD/Endpoint/BBFACD
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Hornell, NY
- NPI 1861629792
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1376513739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2366 DUTCH BROADWAY",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033508",
"telephone_number": "516-488-8595",
"fax_number": "516-488-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2366 DUTCH BROADWAY",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033508",
"telephone_number": "516-488-8595",
"fax_number": "516-488-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "MAX",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "230045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02624091",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.