Maxence B Bamenga

Primary specialty

SpecialistTaxonomy code 174400000X

License

556129041 Issued in NY

Practice address

2538 Yates Ave
PH
Bronx, NY 10469-5311

Phone

(718) 733-7203

NPI assigned

Jun 14, 2013

Last updated

Jun 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1619316452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 YATES AVE",
            "address_2": "PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10469",
            "telephone_number": "718-733-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 YATES AVE",
            "address_2": "PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695311",
            "telephone_number": "718-733-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMENGA",
        "first_name": "MAXENCE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "556129041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Bamawo, LMSW
• Daouda Bamba
• Whitney Janique Bamberg
• Hortense Bambury
• Liliane M Bamenga
• Oforiwaa Bamfo-Akoto, LPN
• Joke Irene Bamgbopa, NP
• Michael Olaseni Bamgbose, MD, MPH
• Sunday Bamgbose
• Adeshina Shon Bamigbade

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.