MR. MAKSIM REPKA NP NPI 1417350604

NPI Information

  • NPI: 1417350604
  • Provider Name: MR. MAKSIM REPKA, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 475 SEAVIEW AVE
    DIAGNOSTIC CARDIOLOGY
    STATEN ISLAND, NY
    ZIP 10305
  • Phone: (718) 226-9490

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NPI Details

MR. Maksim Repka, NP is a family nurse practitioner in Staten Island, NY with 13 years of experience. MR. Maksim Repka, NP NPI is 1417350604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

475 SEAVIEW AVE
DIAGNOSTIC CARDIOLOGY
STATEN ISLAND, NY
ZIP 10305-436
Phone: (718) 226-9490
Fax: (718) 226-1946

The NPI 1417350604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 12/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily338650NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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