Active NPI
Christian Maetzener, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1568521763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 187050
- Practice address
- 969 Park Ave
New York, NY 10028-0322 - Phone
- (212) 879-6560
- Fax
- (212) 327-0322
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 187050 | NY | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 187050 | NY |
Addresses
Primary practice location
969 Park Ave
New York, NY 10028-0322
Mailing address
969 Park Ave
New York, NY 10028-0322
Phone (212) 879-6560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 25, 2019 through Feb 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187050 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1568521763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280322",
"telephone_number": "212-879-6560",
"fax_number": "212-327-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280322",
"telephone_number": "212-879-6560",
"fax_number": "212-327-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAETZENER",
"first_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "187050",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "187050",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.