Maxylian Family Practice & Healthcare PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAXYLIAN FAMILY PRACTICE & HEALTHCARE PA

Practice address

622 Roger Chaffee SQ
Bear, DE 19701-6843

Phone

(413) 237-2554

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Maxy AnamonyeNPI 1477148724

Title

NP

Phone

(413) 237-2554

Specialties & licenses 1

Addresses

Other names 1

• MaxyLian Family Practice & Healthcare Other name

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maxy U Anamonye

  • Family Nurse Practitioner
  • New Castle, DE
  • NPI 1477148724
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1730890641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 ROGER CHAFFEE SQ",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 ROGER CHAFFEE SQ",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016843",
            "telephone_number": "413-237-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXYLIAN FAMILY PRACTICE & HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "ANAMONYE",
        "authorized_official_first_name": "MAXY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "413-237-2554"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxyLian Family Practice & Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Marie Maselli, CCC-SLP
• Karen Mastrippolito
• Bongofa Patrick Mate
• Laura Matista
• Stacey Maugeri
• Gabrielle N May
• MBS Psychotherapy Services, LLC
• Stephanie McCann
• Erin McCarney, M.A. CCC-SLP
• Catherine McCoubrey

• Family Medicine Physician in Bear, DE
• Providers in Bear, DE by specialty
• Family Medicine Physician in Delaware

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.