Organization Active NPI

Mary Manning Walsh Home

  • Preferred Provider Organization
  • New York, NY
National Provider Identifier
1245692185
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
F305903-1 Issued in NY
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

Updated by the provider on Mar 21, 2016

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.