Active NPI
Tanya Maria Maximoff, D.C.
- Chiropractor
- Madison, NJ
National Provider Identifier
1386762755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00585000
- Practice address
- 250 Main Street
Suite 6
Madison, NJ 07940 - Phone
- (973) 292-0222
- Fax
- (973) 236-0034
- NPI assigned
- Mar 26, 2007
- Last updated
- Sep 19, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00585000 | NJ | Primary |
Addresses
Primary practice location
250 Main Street
Suite 6
Madison, NJ 07940
Mailing address
250 Main Street
Suite 6
Madison, NJ 07940
Phone (973) 292-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 Main St
Madison, NJ 07940-2237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1386762755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MAIN STREET",
"address_2": "SUITE 6",
"city": "MADISON",
"state": "NJ",
"postal_code": "07940",
"telephone_number": "973-292-0222",
"fax_number": "973-575-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MAIN STREET",
"address_2": "SUITE 6",
"city": "MADISON",
"state": "NJ",
"postal_code": "07940",
"telephone_number": "973-292-0222",
"fax_number": "973-236-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXIMOFF",
"first_name": "TANYA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00585000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.