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MAX BENJAMIN MECKLENBURG MPH
NPI 1053991083
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 13, 2021PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1000 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Max Benjamin Mecklenburg Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX BENJAMIN MECKLENBURG MPH (NPI 1053991083) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053991083
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAX BENJAMIN MECKLENBURGCredential: MPH
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address1061 Bergen St Apt 13Brooklyn, NY 11216-3381
Phone(718) 270-1000
Sole ProprietorNo
Enumeration DateApril 13, 2021
NPPES CertifiedApril 13, 2021
✔ NPI 1053991083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

450 CLARKSON AVE, Brooklyn, NY 11203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Benjamin Mecklenburg Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNY DOWNSTATE MEDICAL CENTER UHB
Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 363-2908
UNIVERSITY PHYSICIANS OF BROOKLYN
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Kings County (718) 270-1112
SNEHALATA R TOPGI MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3295
DR. MARYAM NOORI KOLOORI M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (412) 737-3789
DR. VIVEK YADAV MD
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3302
DR. DANIEL BEEGAN MD
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Kings County (718) 270-4096
ELIEZER LEVITANSKY DO
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (245) 331-8718
MIGUEL ANGEL BARRIOS MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4798

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Mecklenburg's NPI number?

The NPI number for Max Mecklenburg is 1053991083. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Max Mecklenburg located?

Max Mecklenburg practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-1000.

What is Max Mecklenburg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Max Mecklenburg enrolled in Medicare?

Yes. Max Mecklenburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Max Mecklenburg was last updated on April 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.