Maxiana Louis, NP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Whitestone, NY
NPI 1760152912 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1760152912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- F310381-01 (NY)
- Practice address
- 1752 Francis Lewis Blvd
Whitestone, NY 11357-3247 - Phone
- (718) 746-9494
- NPI assigned
- Sep 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Sinai School of Medicine
Dinesh Sethi Physician PC
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
- Mount Sinai South Nassau
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220125001489 | NY | Practitioner - Nurse Practitioner | 3971995945 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310381 | NY | MD | Psychiatry Physician |
| F310381-01 | NJ | MD | Primary Care Nurse Practitioner |
| F310381-01 | NY | MD | Primary Care Nurse Practitioner |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Internal Medicine, P.C. | Current |
Accepting new patients | |
| North City Medical PLLC | Current |
Accepting new patients | |
| Mount Sinai School of Medicine | Current |
Accepting new patients | |
| Medhat F Sami MD PC | Current | Accepting new patients | |
| Dinesh Sethi Physician PC | Current |
Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Brooklyn Medical Office PLLC | Current |
Accepting new patients | |
| Mount Sinai School of Medicine | Current |
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
1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone (718) 746-9494
14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212
1521 Straight Path
Wyandanch, NY 11798
Phone (631) 643-3800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 310381 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | F310381-01 | NY | Yes |
| 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
NPI Registry JSON
{
"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
- Joseph M Lombardi
- Kimberly Lombardi
- Brenda Lopez Salazar
- Jessica S Lopez
- Daniel Louis
- Phytia' Lowe
- Melissa N Lucci
- Raymon Lukose
- Maria Lupo
- Fernande Lysius
All providers in Whitestone, NY · Primary Care Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.