Individual provider Active NPI

Damar Titsy-Ann McIntyre, FNP

  • Family Nurse Practitioner
  • Newark, NY
National Provider Identifier
1134694334
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342410-1 Issued in NY
Practice address
1200 Driving Park Ave
Newark, NY 14513-1090
Phone
(315) 332-2266
NPI assigned
Oct 4, 2018
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342410-1 NY Primary

Addresses

Primary practice location

1200 Driving Park Ave
Newark, NY 14513-1090

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmcintyre390920@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190211001320 NY Practitioner - Nurse Practitioner 7911245337 Reassigns benefits to 5 organizations
I20240723001640 CT Practitioner - Nurse Practitioner 7911245337 Reassigns benefits to 1 organization
I20260129000390 NJ Practitioner - Nurse Practitioner 7911245337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians
Newark Wayne Community HospitalGroup PAC ID 0446154199, 129 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

1033 Northern Blvd
Roslyn, NY 11576-1502
Phone (516) 537-9063

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5000

1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2266

1842 Old Country Rd
Riverhead, NY 11901-4461
Phone (631) 830-4175

1950 Jericho Tpke
East Northport, NY 11731-6207
Phone (631) 238-3065

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

28 -30 Triangle Ctr
Yorktown Heights, NY 10598-4104
Phone (914) 266-3103

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

50 E Jericho Tpke
Mineola, NY 11501-3141
Phone (516) 399-3068

504 -506 Commack Rd
Deer Park, NY 11729-3804
Phone (631) 782-6230

5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945

527 Boulevard E
Yaphank, NY 11980-7512
Phone (631) 504-0427

5828 99TH St
Corona, NY 11368-4306
Phone (718) 502-9867

5828 99TH St Corona
Corona, NY 11368-4306
Phone (718) 502-9867

595 Hempstead Tpke
Suite a
West Hempstead, NY 11552-1030
Phone (347) 493-2952

603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064

77 Quaker Ridge Rd
Suite 4
New Rochelle, NY 10804-2812
Phone (914) 266-3104

80 E Montauk Hwy
Hampton Bays, NY 11946-1878
Phone (631) 604-4022

9881 Queens Blvd
Rego Park, NY 11374-4404
Phone (718) 502-9798

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13313CTMDGeneral Practice Dentistry
342410NYMDAnesthesiology Physician
F342410-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 1, 2024 Accepting new patients
Small Hospital Innovations LLC CurrentSince Jan 1, 2026 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 17, 2024 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince May 19, 2025 Accepting new patients
Park Hill Emergency Physician Services CurrentSince Dec 26, 2018 Accepting new patients
Delaware River Medicine, PLLC CurrentSince Mar 21, 2020 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Feb 9, 2023 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 17, 2024 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

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

Interoperability endpoints

  • Direct secure messaging: damar.mcintyre@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: damar.mcintyre@xdr.hhchealthdirect.org
  • Direct secure messaging: dmcintyre390920@direct.rochesterregional.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1134694334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131090",
            "telephone_number": "315-332-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Suffern",
            "state": "NY",
            "postal_code": "109014812",
            "country_code": "US",
            "telephone_number": "845-368-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DAMAR",
        "middle_name": "TITSY-ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342410-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmcintyre390920@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Driving Park Ave",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.