Active NPI
Mary Elizabeth Durgan
- Case Manager/Care Coordinator
- Elizabethtown, NY
National Provider Identifier
1265052823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- Essex County Health Department
Childrens Service Unit 132 Water Street
Elizabethtown, NY 12932 - Phone
- (518) 873-3513
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
Essex County Health Department
Childrens Service Unit 132 Water Street
Elizabethtown, NY 12932
Mailing address
Essex County Health Department
132 Water Street
Elizabethtown, NY 12932
Phone (518) 873-3513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1265052823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESSEX COUNTY HEALTH DEPARTMENT",
"address_2": "132 WATER STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "12932",
"telephone_number": "518-873-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ESSEX COUNTY HEALTH DEPARTMENT",
"address_2": "CHILDRENS SERVICE UNIT 132 WATER STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "12932",
"telephone_number": "518-873-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURGAN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.