Individual provider Active NPI

Maria Paola McKenna, M.D.

  • Pediatrics Physician
  • Hawthorne, NY
National Provider Identifier
1295984250
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
253906 Issued in NY
Practice address
19 Bradhurst Ave.,
Suite # 2400
Hawthorne, NY 10532
Phone
(914) 594-3916
Fax
(914) 594-3585
NPI assigned
Sep 15, 2008
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 253906 NY Primary

Addresses

Primary practice location

19 Bradhurst Ave.,
Suite # 2400
Hawthorne, NY 10532

Mailing address

22 Saw Mill River Road,
2ND. Floor
Hawthorne, NY 10532-7507
Phone (914) 594-3916

Other names 1

  • Maria Paola Prino Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000399 NY Practitioner - Pediatric Medicine 0143355321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. Pediatrics CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients

Locations

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: maria.mckenna@direct.westchesterhealth.nextgenshare.com
  • Direct secure messaging: mmckenna67900@northwell.direct-ci.com

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, 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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1295984250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAW MILL RIVER ROAD,",
            "address_2": "2ND. FLOOR",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105327507",
            "telephone_number": "914-594-3916",
            "fax_number": "914-594-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE.,",
            "address_2": "SUITE # 2400",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-594-3916",
            "fax_number": "914-594-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MARIA",
        "middle_name": "PAOLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "253906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PRINO",
            "middle_name": "PAOLA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.