Adult Geriatric Health NP PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ADULT GERIATRIC HEALTH NP PC

Practice address

11 Ralph PL Ste 112
Staten Island, NY 10304-4408

Phone

(347) 377-1979

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalia Maximovsky, NPNPI 1265990097

Title

Owner

Phone

(347) 377-1979

Specialties & licenses 1

Addresses

Locations

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.

• Natalia Maximovsky, NP

  • Adult Health Nurse Practitioner
  • Staten Island, NY
  • NPI 1265990097
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1962137646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 112",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 112",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044408",
            "telephone_number": "347-377-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT GERIATRIC HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "MAXIMOVSKY",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-377-1979",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Jane Adragna, MS SPECIAL EDUCATION
• Tristiana Adragna
• Edward Adrian, M.D.
• Josephine Adriano, RN
• Mary I Adukyei, DOCTOR OF PHARMACY
• Adult Medical Care, P.C.
• Advance Medical and Diet Services
• Advance Sleep Testing Inc
• Advanced Allergy & Asthma Family Care PLLC
• Advanced Care Audiology P.C.

• Adult Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.