Active NPI
Mary Manning Walsh Home
- Preferred Provider Organization
- New York, NY
National Provider Identifier
1245692185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- F305903-1
- Legal business name
- MARY MANNING WALSH HOME
- Practice address
- 1339 York Ave
New York, NY 10021-4707 - Phone
- (212) 628-2800
- NPI assigned
- Mar 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elliot Schwartz, M.D
- Title
- Physician
- Phone
- (212) 628-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | F305903-1 | NY | Primary |
Addresses
Primary practice location
1339 York Ave
New York, NY 10021-4707
Mailing address
250 1St Ave Apt 11E
New York, NY 10009-2614
Phone (646) 669-8313
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Jackson Heights, NY
- NPI 1316307457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458518400000",
"number": "1245692185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 1ST AVE APT 11E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092614",
"telephone_number": "646-669-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214707",
"telephone_number": "212-628-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY MANNING WALSH HOME",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-21",
"last_updated": "2016-03-21",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "ELLIOT",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "212-628-2800",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NY",
"license": "F305903-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.