Mary Ellen M. McCoy, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00174700 Issued in NJ

Practice address

61 Lacey Rd
Whiting, NJ 08759-4439

Phone

(732) 350-2424

Fax

(732) 350-2444

NPI assigned

Nov 28, 2005

Last updated

Sep 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1265415855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BEY LEA RD",
            "address_2": "STE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532978",
            "telephone_number": "732-505-9728",
            "fax_number": "732-505-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087594439",
            "telephone_number": "732-350-2424",
            "fax_number": "732-350-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MARY ELLEN",
        "middle_name": "M.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00174700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0774901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy A. Martis, MSW, LCSW
• Mary Ellen McCoy, DPM
• Maxim Karabach, MD, LLC
• Jeffrey Mayer
• Laura Anne McCoy, BA
• Michael Robert McGowan
• Megan McLaughlin
• Danielle Marie Meyer, M.A.
• Brian Meyerberg, DPM
• Micah M May MD Inc

• Podiatrist in Whiting, NJ
• Providers in Whiting, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.