Individual provider Active NPI

Ashley J Meccariello, CNM

  • Advanced Practice Midwife
  • Smithtown, NY
National Provider Identifier
1285174474
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001788-1 Issued in NY
Practice address
88 Maple Ave
Smithtown, NY 11787-3502
Phone
(631) 486-0832
Fax
(631) 504-0723
NPI assigned
Mar 7, 2017
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001788-1 NY Primary

Addresses

Primary practice location

88 Maple Ave
Smithtown, NY 11787-3502

Mailing address

PO Box 405
Ridge, NY 11961-0405
Phone (914) 274-0791

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001788-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Tree Birth Center LLC Advanced Practice Midwife Current Accepting new patients
Maple Avenue Midwives PLLC Advanced Practice Midwife Current Accepting new patients
Gaia Midwives PLLC Advanced Practice Midwife Current Accepting new patients

Locations

90 Glen Cove Rd
Ste 4
Greenvale, NY 11548

1 Village Plz
Ste 204
Kings Park, NY 11754
Phone (516) 250-3238

88 Maple Ave
Smithtown, NY 11787
Phone (631) 486-0832

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1285174474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119610405",
            "telephone_number": "914-274-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873502",
            "telephone_number": "631-486-0832",
            "fax_number": "631-504-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCARIELLO",
        "first_name": "ASHLEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001788-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.