Mary McCormack, RN-C,FNP, MPH

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F3309701 Issued in NY

Practice address

241 W 57TH St
New York, NY 10019-2121

Phone

(212) 247-5848

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SG Medical Professional PCGroup PAC ID 9133646953, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• Extended Home Care Home health agency, Brooklyn, NY, CCN 337414

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

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

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.

• SG Medical Professional PC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1457085615
  Medicare reassignment Care Compare group NPD
• Lichfpp Physicians

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1184670556
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Extended Nursing Personnel Chha, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1396836219
  Care Compare affiliation
• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225169121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192121",
            "telephone_number": "973-701-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192121",
            "telephone_number": "212-247-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 Main St",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "NJ",
            "postal_code": "079282102",
            "country_code": "US",
            "telephone_number": "973-635-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "MARY",
        "credential": "RN-C,FNP, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN08959300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3309701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer McCormac, AGNP, CWON
• Brian Kenneth McCormack, LCSW
• Clare Marie McCormack
• Kristin McCormack, MS., FNP-BC, BSN, RN
• Lauren Victoria McCormack, RPA-C
• Patrick Thomas McCormack, PHYSICAL THERAPIST
• Ross McCormack, MD
• Ryan McCormack, MD
• McCormick Psychiatric Associates
• Alyson McCormick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.