Active NPI
Mary Mancuso, FNP
- Family Nurse Practitioner
- Oneonta, NY
National Provider Identifier
1295887628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 334386
- Practice address
- Suny Oneonta Health Services
Ravine Parkway
Oneonta, NY 13820 - Phone
- (607) 436-3673
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 334386 | NY | Primary |
Addresses
Primary practice location
Suny Oneonta Health Services
Ravine Parkway
Oneonta, NY 13820
Mailing address
104 Woodline Dr
Oneonta, NY 13820
Phone (607) 433-8789
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334386 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295887628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WOODLINE DR",
"city": "ONEONTA",
"state": "NY",
"postal_code": "13820",
"telephone_number": "607-433-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUNY ONEONTA HEALTH SERVICES",
"address_2": "RAVINE PARKWAY",
"city": "ONEONTA",
"state": "NY",
"postal_code": "13820",
"telephone_number": "607-436-3673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "MARY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "334386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oneonta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.