Active NPI
Patricia Ann McCarren, MS ED
- Specialist
- Brightwaters, NY
National Provider Identifier
1104180314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 794689971
- Practice address
- 507 Pine Acres Blvd
Brightwaters, NY 11718-1202 - Phone
- (631) 968-4633
- NPI assigned
- Jul 2, 2012
- Last updated
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 794689971 | NY | Primary |
Addresses
Primary practice location
507 Pine Acres Blvd
Brightwaters, NY 11718-1202
Mailing address
507 Pine Acres Blvd
Brightwaters, NY 11718-1202
Phone (631) 968-4633
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 794689971 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1104180314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 PINE ACRES BLVD",
"city": "BRIGHTWATERS",
"state": "NY",
"postal_code": "117181202",
"telephone_number": "631-968-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 PINE ACRES BLVD",
"city": "BRIGHTWATERS",
"state": "NY",
"postal_code": "117181202",
"telephone_number": "631-968-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARREN",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "794689971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brightwaters, NY
- Michele Maratea, LAC
- Thomas Andrew Marchese, DPT
- Stephanie Masullo
- Matrix Medical Wound Care PLLC
- Raymond Francis Mattfeld, P.T., A.T.C
- Angela McKelvey, RD, DTR
- Medical Qualified Service of Suffolk County New York PLLC (QSS New York Medical)
- Christian Montanez, MSN, RN
- Joann Muniz Sheets, FNP
- North Shore Long Island Jewish Healthcare Inc. (Island Gynecologic Oncology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.