Maxim Kreditor MD PC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

216136 Issued in NY

Legal business name

MAXIM KREDITOR MD PC

Practice address

380 2ND Avenue
Suite 1003
New York, NY 10010

Phone

(212) 448-9555

Fax

(212) 448-0999

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Maxim Kreditor, M.D.

Title

MD/Owner

Phone

(212) 448-9555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1871784504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "address_2": "SUITE 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-448-9555",
            "fax_number": "212-448-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVENUE",
            "address_2": "SUITE 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-448-9555",
            "fax_number": "212-448-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM KREDITOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "KREDITOR",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "212-448-9555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "216136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02568638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger A Maxfield, MD
• Maxillofacial Surgery of Ny PC
• Maxillofacial Surgery on Park PC
• Maxillofacial Surgical Arts of Manhattan, PC
• Maxim Care
• Maximal Care Services Inc
• Nadira Neesha Maximel, RN
• Maximeyes Optical Inc.
• Sarah Maximos
• Maxine L. Gann Psychologist, P.C.

• Medical Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Medical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.