Maverly Viola Dennis, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F334571 Issued in NY

Practice address

10 Union SQ 2ND FL
Phillips Ambulatory Care Center
New York, NY 10003

Phone

(212) 420-2000

NPI assigned

Oct 20, 2006

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maverly Viola Mullings Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

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

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Columbia Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1891910089
  NPD (past)
• Stephanie Carter-Robin DPM PC

  • Foot Surgery Podiatrist
  • Jackson Heights, NY
  • NPI 1861634875
  NPD (past)
• Trustees of Columbia University in the City of New York

  dba Department of Medicine

  • Internal Medicine Physician
  • New York, NY
  • NPI 1437176047
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1215019054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 UNION SQ 2ND FL",
            "address_2": "PHILLIPS AMBULATORY CARE CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ 2ND FL",
            "address_2": "PHILLIPS AMBULATORY CARE CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MAVERLY",
        "middle_name": "VIOLA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F334571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAVERLY",
            "last_name": "MULLINGS",
            "middle_name": "VIOLA",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Faith Dennis
• Madison Dennis, M.D.
• Mandisa Dalila Dennis, CRNA
• Marissa Dennis, PHD, LP
• Marlene A Dennis
• Monique Dennis
• Paulette Dennis, RN
• Roshene Dennis
• Shanet Dennis, LMFT
• Tjwana Dennis

• Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.

Verify at the official NPI Registry.