Active NPI
Mary Ellen Ryan, FNP
- Family Nurse Practitioner
- Yonkers, NY
National Provider Identifier
1003108747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336650-1
- Practice address
- 919 Bdway
Yonkers, NY 10701-1206 - Phone
- (914) 968-1900
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336650-1 | NY | Primary |
Addresses
Primary practice location
919 Bdway
Yonkers, NY 10701-1206
Mailing address
204 Mallard Way
Peekskill, NY 10566-4173
Phone (914) 734-9542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 Cornell St
Kingston, NY 12401-3633
Phone (845) 331-4300
471 Albany Ave
Kingston, NY 12401-2138
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336650-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc. Ulster, Greene, Putnam Counties Chapter | Current | Accepting new patients | |
| Richmond Children'S Center, Inc. | Past | Accepting new patients | |
| Hudson Valley Health Specialties, Inc | Past | Accepting new patients | |
| Maple Medical, LLP | Past | Accepting new patients |
Locations
1938 Route 6
Carmel, NY 10512
Phone (845) 225-5650
139 Cornell St
Kingston, NY 12401
Phone (845) 331-4300
471 Albany Ave
Kingston, NY 12401
Phone (845) 331-4300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Kingston, NY
- NPI 1164467007
-
- Clinic/Center
- Kingston, NY
- NPI 1184703308
-
- Cardiovascular Disease Physician
- White Plains, NY
- NPI 1417100298
-
- Intellectual Disabilities Intermediate Care Facility
- Yonkers, NY
- NPI 1568548162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1003108747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MALLARD WAY",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105664173",
"telephone_number": "914-734-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 BDWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011206",
"telephone_number": "914-968-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MARY ELLEN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336650-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.