Elizabeth M McCormack

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

30 Yarmouth Rd
East Rockaway, NY 11518-2418

Phone

(516) 305-0344

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1255009908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EXECUTIVE DR STE LL105",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031718",
            "telephone_number": "516-576-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 YARMOUTH RD",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115182418",
            "telephone_number": "516-305-0344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Executive Dr Ste Ll105",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118031718",
            "country_code": "US",
            "telephone_number": "516-576-2040 x189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Maresca, PHARMD
• Vans Sandro Marhone, OT
• Linette Matos, LMHC
• William Thomas McCabe Jr., LBA
• Kimberly McCann, OTR/L
• Kathryn Elizabeth McDougal
• MCK Medical Services PC
• Francine Jill McNamara, LCSW-R
• Kristen Mednick, LMSW
• Christina Ann Minerva, RPH

• Early Intervention Provider Agency in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.