Individual provider Active NPI

Mary Ann Pestrak, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1205076411
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401181-1 Issued in NY
Practice address
30 Hempstead Ave Ste 152
Rockville Centre, NY 11570-4034
Phone
(516) 737-7018
Fax
(516) 981-2316
NPI assigned
Feb 27, 2009
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401181-1 NY Primary

Addresses

Primary practice location

30 Hempstead Ave Ste 152
Rockville Centre, NY 11570-4034

Mailing address

3579 Wyanet St
Seaford, NY 11783-3011
Phone (718) 316-8725

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
I20130205000022 NY Practitioner - Nurse Practitioner 8921157363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30 Hempstead Ave
Suite 154H
Rockville Centre, NY 11570-4535
Phone (516) 737-7018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F401181-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Pestrak NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients
Horizons North, Inc. PastSince Jun 1, 2006 Accepting new patients
Mercymed of Columbus Inc PastSince Jan 5, 2026 Accepting new patients
Transitional Services for Ny Past Accepting new patients
Transitional Services for New York,Inc. PastSince Jun 24, 2013 Accepting new patients

Locations

30 Hempstead Ave
Ste 154H
Rockville Centre, NY 11570
Phone (516) 737-7018

30 Hempstead Ave
Ste 152
Rockville Ctr, NY 11570
Phone (516) 433-4243

Organizations & group practices 6

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": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1205076411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 WYANET ST",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833011",
            "telephone_number": "718-316-8725",
            "fax_number": "516-981-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE STE 152",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704034",
            "telephone_number": "516-737-7018",
            "fax_number": "516-981-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTRAK",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.