MAXWELL 21 MEDICAL, PC (NPI# 1205216322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205216322 |
| Entity Type | Organization |
| Organization Name | MAXWELL 21 MEDICAL, PC |
| Practice Address |
111 Broadway Rm 503 New York NY 10006-1981 |
| Practice Telephone | 2129529355 |
| Mailing Telephone | 2129529355 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | MISS THANIA LOUISOR (INSURANCE) |
| Authorized Official Telephone | 2129529355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
111 BROADWAY RM 503 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627494 | Heidi Choe | Physical Medicine & Rehabilitation | 111 Broadway Rm 503, New York, NY 10006-1981 | 2015-04-28 |
| 1417412131 | Tomoko Okasaki | Acupuncturist | 111 Broadway Rm 503, New York, NY 10006-1981 | 2019-02-06 |
| 1972089316 | Christopher Lee | Physical Therapist | 111 Broadway Rm 503, New York, NY 10006-1981 | 2018-07-18 |
| 1336638121 | Olayinka Akisanya | Physical Therapist | 111 Broadway Rm 503, New York, NY 10006-1981 | 2018-05-07 |
| 1750761268 | Lin-lin Wang | Physical Medicine & Rehabilitation | 111 Broadway Rm 503, New York, NY 10006 | 2015-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
| Find all providers in zip 10006 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593336 | Andrew Stephen Ward | Physical Medicine & Rehabilitation | 295 Madison Ave Rm 1026, New York, NY 10017-7725 | 2019-11-26 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1215341748 | Emily Nell Fatakhov | Physical Medicine & Rehabilitation | 3 E 101st St Lbby 1, New York, NY 10029-6528 | 2014-06-12 |
| 1558594929 | Faruk Razzak | Physical Medicine & Rehabilitation | 150 E 58th St Fl 14, New York, NY 10155-0002 | 2009-09-01 |
| 1285758029 | Jason Moss Fritzhand | Physical Medicine & Rehabilitation | 1776 Broadway Fl 5, New York, NY 10019-2002 | 2007-03-19 |
| 1265540348 | Nadya G Swedan | Physical Medicine & Rehabilitation | 1065 Park Ave, Second Floor, New York, NY 10128-1001 | 2006-08-28 |
| 1154310316 | Neal Adam Mesnick | Physical Medicine & Rehabilitation | 5 W 16th St, New York, NY 10011-6307 | 2005-10-19 |
| 1912909490 | Todd R Schlifstein | Physical Medicine & Rehabilitation | 201 E 69th St, Suite 2c, New York, NY 10021-5471 | 2005-08-13 |
| 1003818584 | Gerard P Varlotta | Physical Medicine & Rehabilitation | 20 E 46th St Rm 304, New York, NY 10017-9286 | 2005-08-13 |
| 1609877703 | Jeffrey M Gross | Physical Medicine & Rehabilitation | 32 Union Sq E, 7th Floor, New York, NY 10003-3209 | 2005-08-10 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on MAXWELL 21 MEDICAL, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.