Mary Donovan Greco, NP
Individual provider Active NPI Family Nurse Practitioner · West Harrison, NY
NPI 1124246665 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1124246665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 333827 (NY)
- Practice address
- Memorial Sloan Kettering Cancer Center
500 Westchester Ave
West Harrison, NY 10604 - Phone
- (914) 367-7000
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MSK Harrison
Practice addresses (Care Compare)
500 Westchester Ave
West Harrison, NY 10604-3200
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 74.7
- Improvement activities
- 40
- Cost
- 69.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111223000089 | NY | Practitioner - Nurse Practitioner | 7416123393 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333827 | NY | MD | Family Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| MSK Harrison | Current |
Accepting new patients |
Locations
480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
300 Community Dr
Plandome, NY 11030
777 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-0664
500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000
1940 Commerce St
Yorktown Hts, NY 10598
Phone (914) 245-5200
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mdonovangreco24688@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 333827 | NY | Yes |
Addresses
Primary practice location
Memorial Sloan Kettering Cancer Center
500 Westchester Ave
West Harrison, NY 10604
Mailing address
1396 Kearney Ave
Bronx, NY 10465-1350
Phone (718) 823-1109
Other providers in West Harrison, NY
- Arielle Cruz
- Matthew Delfico
- Salvatore P. Dericco
- Christina Dibenedetto
- Kristina Didomizio
- Stephanie Downs-Canner
- Anastasia Eliopoulos
- Dawn Erick
- Julia Fabrizi
- Noreen Elgina Bantican Famy
All providers in West Harrison, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.