Douglas Mailly, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

189936-1 Issued in NY

Practice address

Hudson Valley Hospital Center (Emergency Department)
1980 Crompond Road
Cortlandt Manor, NY 10567

Phone

(914) 737-9000

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.mailly@direct.hvhc.org

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.

• Emergency Medicine Services of NH, LLC

  • Emergency Medicine Physician
  • Derry, NH
  • NPI 1386341444
  Medicare reassignment NPD
• Emergency Medical Association Sound Shore PLLC

  dba New Rochelle Emergency Medical Associates

  • Emergency Medicine Physician
  • New Rochelle, NY
  • NPI 1649200015
  NPD (past)
• Emergency Medical Metro P C

  dba Emergency Medical Associates Metro

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1154376150
  NPD (past)
• Emergency Medical of Sound Shore PC

  dba Sound Shore Emergency Medical Associates

  • Emergency Medicine Physician
  • New Rochelle, NY
  • NPI 1861447435
  NPD (past)
• Emergency Medical of Westchester PC

  dba Westchester Emergency Medical Associates

  • Emergency Medicine Physician
  • Valhalla, NY
  • NPI 1487609889
  NPD (past)
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Morristown, NJ
  • NPI 1477591360
  NPD (past)
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1013950641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070390718",
            "telephone_number": "973-740-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUDSON VALLEY HOSPITAL CENTER (EMERGENCY DEPARTMENT)",
            "address_2": "1980 CROMPOND ROAD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-737-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Kinsley St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603648",
            "country_code": "US",
            "telephone_number": "603-882-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAILLY",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "17886",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "189936-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108979",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Loreto
• Mark Lovitz, PHARMD
• Katherine Craig Ma, MD
• Haydee M Magazino
• Bryce William Magee
• Genesis Maisonave, PA-C
• Divya Malhotra, MD
• Aqsa Malik
• Hannah Malter
• Karen Mandelkow, OTR/L

• Emergency Medicine Physician in Cortlandt Manor, NY
• Providers in Cortlandt Manor, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.