Mae Joy E. Falk, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

004509 Issued in CT

Practice address

40 Nutmeg CT
Middletown, CT 06457-2394

Phone

(860) 346-4133

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1063722353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NUTMEG CT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572394",
            "telephone_number": "860-346-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NUTMEG CT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572394",
            "telephone_number": "860-346-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "MAE JOY",
        "middle_name": "E.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ey
• Megan Marie Fainer, MD
• Kara Fairchild, LMFT
• Alyson Faires, PSYD
• Robert Elton Fales Jr., MD
• Marcy Marie Fanello Diaz, LCSW
• Joseph Farah, MD
• Gail Farmer Peloquin, LCSW
• Natasha Farooqi
• Michael P. Farrell, M.D., PH.D.

• Family Nurse Practitioner in Middletown, CT
• Providers in Middletown, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.