Individual provider Active NPI

Andrew Cyrus Marcy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsford, NY
National Provider Identifier
1235589300
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402008 Issued in NY
Practice address
11 Schoen PL Ste 5
Pittsford, NY 14534-2055
Phone
(585) 563-9989
Fax
(585) 532-7824
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 F402008 NY Primary

Addresses

Primary practice location

11 Schoen PL Ste 5
Pittsford, NY 14534-2055

Mailing address

11 Schoen PL Ste 5
Pittsford, NY 14534-2055
Phone (585) 563-9989

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
I20170411001688 NY Practitioner - Nurse Practitioner 5799079646 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F402008NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Feb 25, 2017 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Mar 18, 2017 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

100 Pinewild Dr
#2A
Rochester, NY 14606
Phone (585) 368-6700

1561 Long Pond Rd
Ste 133
Rochester, NY 14626
Phone (585) 723-7670

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1235589300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SCHOEN PL STE 5",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342055",
            "telephone_number": "585-563-9989",
            "fax_number": "585-532-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SCHOEN PL STE 5",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342055",
            "telephone_number": "585-563-9989",
            "fax_number": "585-532-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCY",
        "first_name": "ANDREW",
        "middle_name": "CYRUS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.