Individual provider Active NPI

Maximo B. Julian, MEDICAL DOCTOR

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1811060833
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
133408 Issued in NY
Practice address
255 Fort Washington Ave
Suite #2
New York, NY 10032-1229
Phone
(212) 568-1000
Fax
(212) 740-1438
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 133408 NY Primary
Pediatric Adolescent Medicine Physician 2080A0000X 133408 NY

Addresses

Primary practice location

255 Fort Washington Ave
Suite #2
New York, NY 10032-1229

Mailing address

255 Fort Washington Ave
Suite #2
New York, NY 10032-1229
Phone (212) 568-1000

Other identifiers 1

IdentifierTypeStateIssuer
00275296MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000154 NY Practitioner - General Practice 1355500729 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Medical Diagnostics P.C. Past Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. Past Accepting new patients

Networks

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811060833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FORT WASHINGTON AVE",
            "address_2": "SUITE #2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321229",
            "telephone_number": "212-568-1000",
            "fax_number": "212-740-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FORT WASHINGTON AVE",
            "address_2": "SUITE #2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321229",
            "telephone_number": "212-568-1000",
            "fax_number": "212-740-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "MAXIMO",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "133408",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "133408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00275296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.