Maisie Services, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MAISIE SERVICES, LLC

Practice address

3902 Amboy Rd
Staten Island, NY 10308-2776

Phone

(347) 225-4471

NPI assigned

Oct 20, 2023

Organization subpart

No

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

Authorized official

Name

Randy Yhap Jr.

Title

Ceo

Phone

(347) 679-9566

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1578345807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BUSH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032215",
            "telephone_number": "347-679-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082776",
            "telephone_number": "347-225-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISIE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "YHAP",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-679-9566",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bidur Mainali, MD
• Jennifer Maiorano, M.S. ED
• Marjorie Elaine Mais
• Michael Frank Maisano, PT,DPT
• Stephanie Maisano
• Grisel Marie Maisonet, LCSW
• Samantha Maizer, RN
• Comfort Majekodunmi
• Taiwo A Majekodunmi, RN
• Majestic Senior Center Inc

• Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.