Active NPI
Marie Maye Joseph
- Adult Health Clinical Nurse Specialist
- New York, NY
National Provider Identifier
1255682712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- F305632-1
- Practice address
- 1 Penn Plaza, 8TH Floor
New York, NY 10119 - Phone
- (646) 398-0036
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | F305632-1 | NY | Primary |
Addresses
Primary practice location
1 Penn Plaza, 8TH Floor
New York, NY 10119
Mailing address
1860 Virginia Ave
Elmont, NY 11003-4919
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140403001206 | NY | Order and Referring Only - Nurse Practitioner | 3173755279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305632 | NY | MD | Psychiatry Physician |
| F305632-1 | NY | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1255682712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 VIRGINIA AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN PLAZA, 8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10119",
"telephone_number": "646-398-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "MARIE",
"middle_name": "MAYE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "NY",
"license": "F305632-1",
"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 Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.