Active NPI
Maurice Maynard Foundation Inc West
- Community Health Worker
- Brooklyn, NY
National Provider Identifier
1861304271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- MAURICE MAYNARD FOUNDATION INC WEST
- Practice address
- 4619 Avenue H
Brooklyn, NY 11234-1441 - Phone
- (424) 508-3827
- NPI assigned
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nevon Maurice Watson
- Title
- Executive Director
- Phone
- (424) 508-3827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
4619 Avenue H
Brooklyn, NY 11234-1441
Mailing address
3680 Wilshire Blvd
Los Angeles, CA 90010-2707
Phone (424) 508-3827
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Health Educator
- Los Angeles, CA
- NPI 1750064630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1861304271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102707",
"telephone_number": "424-508-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 AVENUE H",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112341441",
"telephone_number": "424-508-3827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAURICE MAYNARD FOUNDATION INC WEST",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "NEVON",
"authorized_official_middle_name": "MAURICE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "424-508-3827",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.