Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maya Fakhoury

Individual provider Nephrology Physician · NPI 1417351487

Maya Fakhoury is a Nephrology in New York, New York. Qualified in 2006, 20 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
20
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1111 Amsterdam Ave
New York, NY 10025-1716
Phone: (212) 523-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 — (973) 653-3366
  • 1000 10th Ave, New York, NY 10019-1147 — (212) 523-4000

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 305042 (NY)
Nephrology Physician Taxonomy 207RN0300X · Licence 25MA10792400 (NJ)

Record details

NPI number1417351487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2014
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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