MR. MAXWELL ENNIST (NPI# 1215535505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215535505 |
| Entity Type | Individual |
| Full Name | MR. MAXWELL ENNIST |
| Credential | LMT |
| Practice Address |
210 Bedford Park Blvd Bronx NY 10467 |
| Mailing Address |
3504 Rochambeau Ave Apt 1j Bronx NY 10467-1376 |
| Practice Telephone | 9143159088 |
| Mailing Telephone | 9143159088 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0308231 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
210 BEDFORD PARK BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| 1982125035 | Ridin Balakrishnan | Student in an Organized Health Care Education/Training Program | 111 East 210th Street Bronx, Ny 10467, New York, NY 10467 | 2017-06-29 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372052 | Debra Nicole Rios | Massage Therapist | 3875 Waldo Ave Apt 6a, Bronx, NY 10463-2159 | 2020-10-07 |
| 1326655804 | Bridie Ann Phelan | Massage Therapist | 234 E 237th St, Bronx, NY 10470-2007 | 2020-09-28 |
| 1245847078 | Jason R Brown | Massage Therapist | 5545 Netherland Ave Apt 4e, Bronx, NY 10471-2339 | 2020-09-25 |
| 1033724950 | Kewin Bernardez | Massage Therapist | 941 Simpson St, Bronx, NY 10459-3327 | 2020-09-09 |
| 1841804077 | Minh-michael Huy Nguyen | Massage Therapist | 3170 Spencer Dr Fl 1, Bronx, NY 10465-1255 | 2020-09-04 |
| 1144834730 | Ivette Cancel | Massage Therapist | 1650 Parkview Ave, Bronx, NY 10461-5221 | 2020-09-01 |
| 1508470139 | Sarah Eve Corrales | Massage Therapist | 1770 Bruckner Blvd Apt 15g, Bronx, NY 10473-3733 | 2020-09-01 |
| 1831709211 | Aandrew Diaz | Massage Therapist | 1660 Topping Ave Apt 6a, Bronx, NY 10457-7164 | 2020-07-31 |
| 1235756768 | Denise Rivera | Massage Therapist | 2915 Harrington Ave, Bronx, NY 10461-5934 | 2020-06-30 |
| 1669096129 | Jasmin Sanchez | Massage Therapist | 738 Calhoun Ave, Bronx, NY 10465-2403 | 2020-06-01 |
| Find all providers in BRONX | ||||
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| 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.