Mavencare (Ny) Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAVENCARE (NY) INC.

Practice address

79 Madison Ave # 438
New York, NY 10016-7802

Phone

(646) 887-2333

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Zimmerman, JD, MBA

Title

SVP, US Operations

Phone

(646) 853-1126

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1750827762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MADISON AVE # 438",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167802",
            "telephone_number": "646-887-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MADISON AVE # 438",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167802",
            "telephone_number": "646-887-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVENCARE (NY) INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SVP, US OPERATIONS",
        "authorized_official_telephone_number": "646-853-1126",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04488515",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Mavashev, RPA-C
• Rozet Mavashev
• Maven Clinic Administrators Inc.
• Maven Clinic Co.
• Maven Podiatry PC
• Kaylan Mavrich, NP
• Cathy Ann Marie Mavrinac, D.D.S.
• Natalia Mavrogiannis, MD
• Magdaline Mavromatis
• Maria Anna Mavrommatis, BA

• Home Health Agency in New York, NY
• Providers in New York, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.