MAXIM KREDITOR M.D. – NPI #1275573644
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Health Care Provider Taxonomy Code for Internal Medicine

MAXIM KREDITOR is a physician located in NEW YORK, NY. NPPES has assigned the NPI number 1275573644 to MAXIM KREDITOR on June 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was last updated on Oct 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAXIM KREDITOR below.

NPI Profile for
MAXIM KREDITOR

NPI Number
1275573644
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MAXIM KREDITOR
Credentials
M.D.
Primary location
380 SECOND AVENUE
SUITE 1003
NEW YORK, NY 10010-4616
Phone: (212) 448-9555 Fax: (212) 448-0999
Mailing address
380 2ND AVE
SUITE 1003
NEW YORK, NY 10010-5615
Phone: (212) 448-9555 Fax: (212) 448-0999
Sole Proprietor
Yes
Updated
Certification Date
Oct 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MAXIM KREDITOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY02568638
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RX0202X
- Internal Medicine / Medical Oncology (Primary)		 NY 216136
207RH0003X
- Internal Medicine / Hematology & Oncology		 NY 216136
174400000X
- Specialist		 NY 216136

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MAXIM KREDITOR is affiliated with the following medical group(s):
  • HOSPITAL
    • NYU LANGONE HOSPITALS
      550 FIRST AVENUE
      NEW YORK, NY 10016

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