Individual provider Active NPI

Maxiana Louis, NP-C

  • Primary Care Nurse Practitioner
  • Whitestone, NY
National Provider Identifier
1760152912
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F310381-01 Issued in NY
Practice address
1752 Francis Lewis Blvd
Whitestone, NY 11357-3247
Phone
(718) 746-9494
NPI assigned
Sep 19, 2021
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 310381 NY
Primary Care Nurse Practitioner 363LP2300X F310381-01 NY Primary
Primary Care Nurse Practitioner 363LP2300X F310381-01 NJ

Addresses

Primary practice location

1752 Francis Lewis Blvd
Whitestone, NY 11357-3247

Mailing address

884 Washington St
Baldwin, NY 11510-4635
Phone (347) 217-6772

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125001489 NY Practitioner - Nurse Practitioner 3971995945 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai School of MedicineGroup PAC ID 6406096544, 150 clinicians
Dinesh Sethi Physician PCGroup PAC ID 3678703998, 8 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3670

305 Locust Ave
Oakdale, NY 11769-1652
Phone (631) 218-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310381-01NJMDPrimary Care Nurse Practitioner
F310381-01NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dinesh Sethi Physician PC CurrentSince May 19, 2024 Accepting new patients
Medhat F Sami MD PC Current Accepting new patients
New York Internal Medicine, P.C. CurrentSince Oct 30, 2021 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Mar 10, 2024 Accepting new patients
North City Medical PLLC CurrentSince Oct 9, 2025 Accepting new patients
Brooklyn Medical Office PLLC CurrentSince Oct 9, 2025 Accepting new patients
Mount Sinai School of Medicine CurrentSince Mar 10, 2024 Accepting new patients

Locations

2810 Steinway St
Astoria, NY 11103
Phone (718) 225-2244

1022 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 378-8010

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone (718) 746-9494

1521 Straight Path
Wyandanch, NY 11798
Phone (631) 643-3800

Networks

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

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1760152912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104635",
            "telephone_number": "347-217-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573247",
            "telephone_number": "718-746-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "MAXIANA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "310381",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F310381-01",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "F310381-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.