Active NPI
Mary Frances McKenna Nolan
- Student Health Clinic/Center
- New Rochelle, NY
National Provider Identifier
1114102159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- License
- F331969-1
- Practice address
- 715 North Ave
Iona Wellness Center
New Rochelle, NY 10801-1830 - Phone
- (914) 633-2548
- Fax
- (914) 633-2103
- NPI assigned
- Jan 9, 2008
- 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 |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | F331969-1 | NY | Primary |
Addresses
Primary practice location
715 North Ave
Iona Wellness Center
New Rochelle, NY 10801-1830
Mailing address
19 Woodview Ave
Cornwall on Hudson, NY 12520-1439
Phone (845) 674-7836
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331969-1 | NY | MD | Student Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1114102159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WOODVIEW AVE",
"city": "CORNWALL ON HUDSON",
"state": "NY",
"postal_code": "125201439",
"telephone_number": "845-674-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 NORTH AVE",
"address_2": "IONA WELLNESS CENTER",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108011830",
"telephone_number": "914-633-2548",
"fax_number": "914-633-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA NOLAN",
"first_name": "MARY",
"middle_name": "FRANCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "NY",
"license": "F331969-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.