Maxwell Boev Medical Group PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

137227

Legal business name

MAXWELL BOEV MEDICAL GROUP PLLC

Practice address

1445 Portland Ave
Suite 304
Rochester, NY 14621-3036

Phone

(585) 342-7170

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Teressa Rosenberg

Title

Billing Manager

Phone

(585) 267-7510

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1598027435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OFFICE PKWY",
            "address_2": "LOWER LEVEL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341749",
            "telephone_number": "585-267-7510",
            "fax_number": "585-267-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE",
            "address_2": "SUITE 304",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213036",
            "telephone_number": "585-342-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL BOEV MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "TERESSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "585-267-7510"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": "137227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03436082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxim Health Care
• Maxim Healthcare Services
• Maxim of New York, LLC
• Maxim of New York, LLC
• Maxwell Boev Medical Group PLLC
• Deanna Maxwell, LMSW
• Elizabeth Varland Maxwell, PA
• James T Maxwell, MD
• Mary E Maxwell, NP
• Paul Maxwell, F.N.P.

• Neurological Surgery Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.