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NPI Code Detail

MEDICARE: MAE HEALTH, INC.

MEDICARE: MAE HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2374J00000XDoula

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992457972
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAE HEALTH, INC.
Provider Business Mailing Address
First Line : 513 VANDERBILT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-2209
Country : US
Telephone Number : 929-296-8163
Fax Number :
Provider Business Practice Location Address
First Line : 513 VANDERBILT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-2209
Country : US
Telephone Number : 703-994-2987
Fax Number :
Authorized Official
Title or Position : VP OF PARTNER SUCCESS
Name : MAIA GOKHALE
Credential :
Telephone Number : 617-308-7499
Provider Enumeration Date : 01/21/2022
Last Update Date : 04/16/2026

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