Maximilian Trunz, MS. ED./SP. ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

783141131 Issued in NY

Practice address

189 Wheatley Rd
Glen Head, NY 11545-2641

Phone

(516) 626-1075

NPI assigned

Sep 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1801297817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452641",
            "telephone_number": "516-626-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452641",
            "telephone_number": "516-626-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNZ",
        "first_name": "MAXIMILIAN",
        "credential": "MS. ED./SP. ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "783141131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT - SPECIAL EDUCATION TEACHER",
            "identifier": "783141131",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patti W Tinder, MS
• Lynda Elizabeth Torel, MSPT
• Harrison Michael Tract, LMSW
• Manoj K Trehan, MD
• Tia Trivisonno, L.AC
• Margaret Alana Tulenko, M.A.
• Ayme Turnbull, PSYD
• Rachel Unger-Gillman, MA, CCC/SLP
• Monique A. Vaccaro, M.A. CCC-SLP
• Elisa Ventur, PH.D.

• Specialist in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.