Samir Lewis Maximos, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60477 Issued in NJ

Practice address

1825 Kennedy Blvd
Jersey City, NJ 07305-2106

Phone

(201) 547-6117

Fax

(201) 547-0199

NPI assigned

May 18, 2006

Last updated

Aug 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Greenville Hospital

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1447292727
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1487607099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W 32ND ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021819",
            "telephone_number": "201-823-3610",
            "fax_number": "201-823-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052106",
            "telephone_number": "201-547-6117",
            "fax_number": "201-547-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIMOS",
        "first_name": "SAMIR",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "60477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6434401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matvals Corp (Hudson Pharmacy)
• Romolo A. Maurizi, M.D.
• Alfred L Mauro, MD
• Deborah Max
• Maxcare Medicure Inc
• Juliette May, LCSW
• Maura Mayer
• Shakia N Mayer
• Maynard Milestones. LLC
• Patrice Maynard, OTR/L

• Internal Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.