Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAXINE TAYLOR GOYETTE TRAVIS PA-C
NPI 1134859200
Physician Assistant in New York, NY

Active since June 13, 2022
519 E 72ND ST STE 204, NEW YORK, NY 10021(212) 606-1415 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Aug 11, 2022 (2 updates tracked since 2022).

About Maxine Taylor Goyette Travis Pa-c NPPES

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

MAXINE TAYLOR GOYETTE TRAVIS PA-C (NPI 1134859200) is an individual physician assistant in New York, New York and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1134859200
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAXINE TAYLOR GOYETTE TRAVISCredential: PA-C
Location Address519 E 72ND ST STE 204New York, NY 10021-4028
Mailing Address519 E 72nd St Ste 204New York, NY 10021-4028 · (212) 606-1415
Sole ProprietorNo
Enumeration DateJune 13, 2022
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
NPI 1134859200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
519 E 72ND ST STE 204, New York, NY 10021

Other Providers at the Same Location NPPES 3

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

Orthopaedic Surgery
519 E 72ND ST STE 204
NEW YORK, NY 10021
Physician Assistant
519 E 72ND ST STE 204
NEW YORK, NY 10021
Physician Assistant (Medical)
519 E 72ND ST STE 204
NEW YORK, NY 10021

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 Maxine Travis's NPI number?

The NPI number for Maxine Travis is 1134859200. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Maxine Travis located?

Maxine Travis practices at 519 E 72nd St Ste 204, New York, NY 10021. The listed phone number is (212) 606-1415.

What is Maxine Travis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Maxine Travis was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.