Mary E Maxwell, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

301455 Issued in NY

Practice address

1445 Portland Ave
Parnell Office BLDG, Ste 304
Rochester, NY 14621-3036

Phone

(585) 342-7170

Fax

(585) 342-5855

NPI assigned

Oct 4, 2006

Sex

Female

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

Nurse Practitioner

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1487749636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-342-7170",
            "fax_number": "585-342-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE",
            "address_2": "PARNELL OFFICE BLDG, STE 304",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213036",
            "telephone_number": "585-342-7170",
            "fax_number": "585-342-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "301455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02821016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxwell Boev Medical Group PLLC
• Maxwell Boev Medical Group PLLC
• Deanna Maxwell, LMSW
• Elizabeth Varland Maxwell, PA
• James T Maxwell, MD
• Paul Maxwell, F.N.P.
• Peter G Maxwell, PA-C
• Anne May, BSN
• Deanna Marie May, PA
• Joel May, MD

• Adult Health Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.