NPIMap

Organization Active NPI

Maximum Health Care Registry Inc

  • Licensed Practical Nurse
  • Rosedale, NY
National Provider Identifier
1487989901
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
9075L Issued in NY
Legal business name
MAXIMUM HEALTH CARE REGISTRY INC
Practice address
135-13 Hook Creek Blvd
Rosedale, NY 11422
Phone
(718) 997-7883
Fax
(718) 977-9748
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Violet E Samuels, RNNPI 1306154307
Title
Administrative Director
Phone
(718) 977-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 9075L NY
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 9075L NY Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X 9075L NY

Addresses

Primary practice location

135-13 Hook Creek Blvd
Rosedale, NY 11422

Mailing address

135-13 Hook Creek Blvd
Rosedale, NY 11422
Phone (718) 997-7883

Other identifiers 1

IdentifierTypeStateIssuer
01220180MedicaidNY

National Provider Directory

National Provider Directory

Locations

13513 Hook Creek Blvd
Rosedale, NY 11422
Phone (718) 977-8883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1487989901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135-13 HOOK CREEK BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "718-997-7883",
            "fax_number": "718-977-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135-13 HOOK CREEK BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "718-997-7883",
            "fax_number": "718-977-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM HEALTH CARE REGISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "718-977-8883",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "9075L",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "9075L",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "9075L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01220180",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.