Individual provider Active NPI

Maxine M Easy, NP

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1821508946
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
307815 Issued in NY
Practice address
10837 Seaview Ave
Brooklyn, NY 11236-4689
Phone
(347) 933-5908
Fax
(718) 270-4789
NPI assigned
Oct 3, 2017
Last updated
Oct 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 307815 NY Primary

Addresses

Primary practice location

10837 Seaview Ave
Brooklyn, NY 11236-4689

Mailing address

10837 Seaview Ave Apt 33C
Brooklyn, NY 11236-4689
Phone (347) 933-5908

Other names 1

  • NA NA NA Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
307815NYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1821508946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 SEAVIEW AVE APT 33C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364689",
            "telephone_number": "347-933-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 SEAVIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364689",
            "telephone_number": "347-933-5908",
            "fax_number": "718-270-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASY",
        "first_name": "MAXINE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "307815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.