MAVERICK FAMILY HEALTH
NPI 1891765244
Family Medicine in Woodstock, NY

Active since January 26, 2006
404 ZENA RD, WOODSTOCK, NY 12498(845) 679-5271(845) 679-0726 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maverick Family Health NPPES

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

MAVERICK FAMILY HEALTH (NPI 1891765244) is a healthcare organization registered as a family medicine in Woodstock, New York and active in the NPI registry since January 2006. The organization lists Randall Sidney Rissman, President, as its authorized official.

NPPES Registry Identity

NPI1891765244
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAVERICK FAMILY MEDICAL, PC
Location Address404 ZENA RDWoodstock, NY 12498
Mailing Address404 Zena RdWoodstock, NY 12498 · (845) 679-5271 · Fax (845) 679-0726
Fax(845) 679-0726
Organization SubpartNo
Authorized OfficialRandall Sidney RissmanPresident · (845) 679-5271
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMay 3, 2010
NPI 1891765244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 142652
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
404 ZENA RD, Woodstock, NY 12498

Other Names 1

Doing Business AsMaverick Family Health

Other Identifiers 3

Medicare UPINB14951NY
Other1213350001NY · Ptin
Medicaid01907313NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Counselor (Mental Health)
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker (Clinical)
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker
404 ZENA RD
WOODSTOCK, NY 12498
Family Medicine
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker (Clinical)
404 ZENA RD
WOODSTOCK, NY 12498
Counselor (Mental Health)
404 ZENA RD
WOODSTOCK, NY 12498
Counselor (Mental Health)
404 ZENA RD
WOODSTOCK, NY 12498

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 Maverick Family Medical, PC's NPI number?

The NPI number for Maverick Family Medical, PC is 1891765244. It was assigned to this organization in the NPPES registry on January 26, 2006. The provider is doing business as Maverick Family Health.

Where is Maverick Family Medical, PC located?

Maverick Family Medical, PC is located at 404 Zena Rd, Woodstock, NY 12498. The listed phone number is (845) 679-5271.

What is Maverick Family Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Maverick Family Medical, PC was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.