Active NPI
Mary Elizabeth Ogrady, RPAC
- Physician Assistant
- Great Neck, NY
National Provider Identifier
1154497675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0062671
- Practice address
- 11 Grace Avenue
Suite 100 Bodian Dermatology Group PC
Great Neck, NY 11021 - Phone
- (516) 482-2882
- Fax
- (516) 482-6039
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0062671 | NY | Primary |
Addresses
Primary practice location
11 Grace Avenue
Suite 100 Bodian Dermatology Group PC
Great Neck, NY 11021
Mailing address
11 Grace Avenue
Suite 100
Great Neck, NY 11021
Phone (516) 482-2882
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0062671 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodian Medical Services of Forest Hills PC | Past | Accepting new patients | |
| Boro Medical, P.C. | Physician Assistant | Past | Accepting new patients |
| Boro Medical, P.C. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Great Neck, NY
- NPI 1659412104
-
- Specialist
- Forest Hills, NY
- NPI 1043441777
-
- Surgical Physician Assistant
- Bronx, NY
- NPI 1528086584
-
- Podiatrist
- Long Island City, NY
- NPI 1588682454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154497675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GRACE AVENUE",
"address_2": "SUITE 100",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-482-2882",
"fax_number": "516-482-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GRACE AVENUE",
"address_2": "SUITE 100 BODIAN DERMATOLOGY GROUP PC",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-482-2882",
"fax_number": "516-482-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGRADY",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0062671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- 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.