Maxim Moroz, MS

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

494406111 Issued in NY

Practice address

1575 McDonald Ave
Brooklyn, NY 11230-5512

Phone

(718) 375-8885

NPI assigned

Feb 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1296950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296950400000",
    "number": "1508162744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 OCEAN PKWY APT 11D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185077",
            "telephone_number": "347-892-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305512",
            "telephone_number": "718-375-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROZ",
        "first_name": "MAXIM",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-06",
        "last_updated": "2011-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "494406111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Moronta
• Isanna Moronta
• Wildilisa Moronta, MFT
• Daniel Morovati, MD
• Alexander Moroz, M.S. ED
• Alina Moroza, M.S IN SP ED
• Diana Morozov, PSY.D.
• Inessa Morozova
• Maria Morozova
• Nonna V. Morozova, D.O.

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2011; 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.