Mary Beth Eldridge, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN221905 Issued in NY

Practice address

700 Corporate Blvd.
Newburgh, NY 12550

Phone

(845) 561-3655

NPI assigned

Oct 14, 2010

Last updated

Nov 5, 2010By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Litson Certified Care, Inc.

  dba Willcare

  • Home Health Agency
  • Newburgh, NY
  • NPI 1609926195
  NPD (past)
• Willcare

  • Home Health Agency
  • Newburgh, NY
  • NPI 1174916712
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1225348071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SPRUCE RIDGE DR",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241543",
            "telephone_number": "845-561-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CORPORATE BLVD.",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "MARY BETH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9225070",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "RN221905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmilla Elana
• Elant at Goshen Inc
• Elant at Goshen Inc
• Elant at Goshen, Inc.
• Elant at Newburgh, Inc.
• Elite Orthopedic and Rehabilitation PC
• Donna Lynn Elkin, LCSWR
• Jeannine Marie Ellingson, M.A., CCC-SLP
• Amanda Ellison
• Yusuf Elminshawy

• Registered Nurse in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.