Individual provider Active NPI

Ethelyn Daley

  • Women's Health Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1285498121
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421536-01 Issued in NY
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

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515000984 NY Practitioner - Nurse Practitioner 5294176764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F421536-01NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Mar 6, 2024 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.

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

Verify at the official NPI Registry.