Individual provider Active NPI

Mary Ellen Papandrea, FNP

  • Family Nurse Practitioner
  • Delmar, NY
National Provider Identifier
1184631616
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3307681 Issued in NY
Practice address
274 Delaware Ave
Ste 2D
Delmar, NY 12054-1436
Phone
(518) 441-2894
Fax
(518) 439-2500
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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 F3307681 NY Primary

Addresses

Primary practice location

274 Delaware Ave
Ste 2D
Delmar, NY 12054-1436

Mailing address

274 Delaware Ave
Ste 2D
Delmar, NY 12054-1436
Phone (518) 441-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330768NYMDHospitalist Physician
F3307681NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1184631616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "address_2": "STE 2D",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-441-2894",
            "fax_number": "518-439-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "address_2": "STE 2D",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-441-2894",
            "fax_number": "518-439-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANDREA",
        "first_name": "MARY ELLEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3307681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.