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Active NPI 1619316452 Individual Practitioner Male Practitioner

Maxence B Bamenga

Specialist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Maxence Bamenga is a registered healthcare professional specializing in Specialist in Bronx, NY. Practice services are available at 2538 YATES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2538 Yates Ave
Ph

Bronx, NY 104695311

Telephone 7187337203

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
863 Specialists

Practicing in Bronx, NY (23296 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 556129041

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1164861902

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2013

Registered at 2538 YATES AVE, PH, BRONX, NY 104695311 (Tel: 7187337203)

📍
Updated Business Mailing Address June 14, 2013

Registered at 2538 YATES AVE, PH, BRONX, NY 10469 (Tel: 7187337203)

👤
Provider Name / Credentials Updated June 14, 2013

Recorded as MAXENCE BAMENGA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2013

Specialist (License #556129041 in NY)

🟢
Initial NPI Registration & Enumeration June 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619316452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2013
Last Update: June 14, 2013
Sole Proprietor: No

Mailing Address

2538 Yates Ave, Ph

Bronx, NY 10469

Phone: 7187337203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.