Individual provider Active NPI

Christine Ann Mavaro, NURSE PRACTITIONER

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1174012306
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
342019 Issued in NY
Practice address
160 E 32ND St
New York, NY 10016-6004
Phone
(212) 263-9936
Fax
(646) 754-9747
NPI assigned
May 3, 2018
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 342019 NY Primary

Addresses

Primary practice location

160 E 32ND St
New York, NY 10016-6004

Mailing address

98 Claypit Rd
Staten Island, NY 10309-1903
Phone (718) 966-5920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmavaro24367@nyumc.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429002445 NY Practitioner - Nurse Practitioner 5193067882 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
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

160 E 32ND St
New York, NY 10016-6004
Phone (212) 263-9907

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2019 Accepting new patients
New York University CurrentSince Apr 1, 2019 Accepting new patients

Locations

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: cmavaro24367@nyumc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1174012306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CLAYPIT RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091903",
            "telephone_number": "718-966-5920",
            "fax_number": "646-754-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "212-263-9936",
            "fax_number": "646-754-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVARO",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "342019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmavaro24367@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "160 E 32nd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.