Mary Catherine Ballin, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F340548 Issued in NY

Practice address

1484 1St Ave
Wright Center on Aging
New York, NY 10021-2304

Phone

(212) 746-7000

Fax

(212) 717-8207

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

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 NY

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

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114142916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 171ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583328",
            "telephone_number": "718-359-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 1ST AVE",
            "address_2": "WRIGHT CENTER ON AGING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212304",
            "telephone_number": "212-746-7000",
            "fax_number": "212-717-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Ballesteros Gomez, PSY.D.
• Maria Elena Ballesteros, LCSW
• Michael Stephen Balletta
• Catherine Ann Balletto, LICSW
• Brittany Ballin
• Marissa Paige Ballinger, LCAT
• Dana Ballis
• Madison Channing Ballman, MD
• Edward Ballo, LMSW
• Mariam Ballout

• Gerontology Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.