Active NPI
Ethelyn Daley
- Women's Health Nurse Practitioner
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F421536-01
- Practice address
- 175 Tarrytown Rd
White Plains, NY 10607-1607 - Phone
- (914) 761-6566
- NPI assigned
- Feb 12, 2024
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F421536-01 | NY | Primary |
Addresses
Primary practice location
175 Tarrytown Rd
White Plains, NY 10607-1607
Mailing address
60 Cornell Ave
Yonkers, NY 10705-2413
Phone (917) 804-0691
Other practice location 1
150 Lockwood Ave Ste Ll-1
New Rochelle, NY 10801-4911
Phone (914) 632-4442
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F421536-01 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Hudson Peconic Inc. | Current | Accepting new patients | |
| Planned Parenthood HP | Past | Accepting new patients |
Locations
8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015
570 Taxter Rd
Ste 250
Elmsford, NY 10523
755 New York Ave
Ste 333
Huntington, NY 11743
Phone 6314277154 ext. 8005
6 Gramatan Ave
Ste 404
Mount Vernon, NY 10550
Phone (914) 668-7927
150 Lockwood Ave
Ste LL-1
New Rochelle, NY 10801
Phone (914) 632-4442
450 Waverly Ave
Patchogue, NY 11772
Phone (631) 289-1151
70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111
25 Perlman Dr
Spring Valley, NY 10977
Phone (845) 426-7577
180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150
175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 255-0508
20 S Broadway
#11
Yonkers, NY 10701
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Smithtown, NY
- NPI 1285701672
-
- Health Maintenance Organization
- West Islip, NY
- NPI 1588729560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1285498121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CORNELL AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107052413",
"telephone_number": "917-804-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 TARRYTOWN RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106071607",
"telephone_number": "914-761-6566"
}
],
"practiceLocations": [
{
"address_1": "150 Lockwood Ave Ste Ll-1",
"address_purpose": "LOCATION",
"city": "New Rochelle",
"state": "NY",
"postal_code": "108014911",
"country_code": "US",
"telephone_number": "914-632-4442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALEY",
"first_name": "ETHELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F421536-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.