Individual provider Active NPI

Dana Alexis Mack, RN

  • Registered Nurse
  • Dobbs Ferry, NY
National Provider Identifier
1023401940
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
567475-1 Issued in NY
Practice address
18 Southfield Ave
Dobbs Ferry, NY 10522-2704
Phone
(347) 268-2661
Fax
(914) 479-5060
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 567475-1 NY Primary

Addresses

Primary practice location

18 Southfield Ave
Dobbs Ferry, NY 10522-2704

Mailing address

18 Southfield Ave
Dobbs Ferry, NY 10522-2704
Phone (347) 268-2661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
567475-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1023401940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SOUTHFIELD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222704",
            "telephone_number": "347-268-2661",
            "fax_number": "914-479-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SOUTHFIELD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222704",
            "telephone_number": "347-268-2661",
            "fax_number": "914-479-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "DANA",
        "middle_name": "ALEXIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "567475-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.