Provider Demographics
NPI:1679647226
Name:BAUMEISTER, MAURITA BURKE (NP)
Entity type:Individual
Prefix:MS
First Name:MAURITA
Middle Name:BURKE
Last Name:BAUMEISTER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:177 FORT WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3733
Mailing Address - Country:US
Mailing Address - Phone:212-305-9940
Mailing Address - Fax:212-305-1769
Practice Address - Street 1:177 FORT WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3733
Practice Address - Country:US
Practice Address - Phone:212-305-9940
Practice Address - Fax:212-305-1769
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY340379363LG0600X
NY302527363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology