Individual provider Active NPI

Maxime Bayol, DO

  • Pediatrics Physician
  • Garden City, NY
National Provider Identifier
1609431279
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
317366 Issued in NY
Practice address
1101 Stewart Ave
Garden City, NY 11530-4892
Phone
(516) 222-0893
Fax
(516) 228-6560
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 317366 NY Primary

Addresses

Primary practice location

1101 Stewart Ave
Garden City, NY 11530-4892

Mailing address

11716 240TH St
Elmont, NY 11003-4016
Phone (516) 564-7152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802001107 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0244567931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
317366NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camkids Pediatrics PC Pediatrics PastSince Jun 1, 2023 Accepting new patients
Allied Physicians Group, PLLC Pediatrics PastSince Nov 25, 2019 Accepting new patients
Long Island Pediatrics Pediatrics PastSince Jun 1, 2022 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: maxime.bayol.1@29151.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1609431279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 240TH ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034016",
            "telephone_number": "516-564-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304892",
            "telephone_number": "516-222-0893",
            "fax_number": "516-228-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYOL",
        "first_name": "MAXIME",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "317366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.