Mary Mulqueen, M.D.

Key facts

NPI

1306189535

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

287031 (NY)

Practice address

189 Wheatley Rd
Advantage Care Health Centers
Brookville, NY 11545

Phone

(516) 686-4400

NPI assigned

Apr 6, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Advantage Care Diagnostic and Treatment Center ,Inc Federally Qualified Health Center (FQHC) · Brookville, NY · NPI 1073689600
  Medicare reassignment Care Compare group NPD NY

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nursing Sisters Home Care, Inc. Home Health Agency · Farmingdale, NY · NPI 1780670711
  Care Compare affiliation Home health agency
• Ogl Holdings, LLC Home Health Agency · Westbury, NY · NPI 1295483618
  Care Compare affiliation Home health agency
• Wsnchs North, Inc. General Acute Care Hospital · Bethpage, NY · NPI 1013998426
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

State University of New York Downstate Medical Center, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Care Diagnostic and Treatment Center Inc (2 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency · Farmingdale, NY · CCN 337147
• Mt. Sinai at Home Home health agency · Westbury, NY · CCN 337246
• Chsli St Joseph Hospital Hospital · Bethpage, NY · CCN 330332

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles (1 of 5)

Locations

Networks

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2024.

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1306189535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY ROAD",
            "address_2": "ADVANTAGE CARE HEALTH CENTERS",
            "city": "BROOKVILLE",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-686-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "address_2": "ADVANTAGE CARE HEALTH CENTERS",
            "city": "BROOKVILLE",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-686-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULQUEEN",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-06",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "287031",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "287031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, NY

• Jason Diana LCSW
• Allison Kaufman
• Patricia Lennon
• Long Island University
• Jamie Morrissey
• Melissa Lauren Nylic
• Judith Olshin, DDS
• Gabriella Paiotti
• Lisette Perez, LPN
• Mindy Schnell, MS, CCC-SLP

All providers in Brookville, NY · Internal Medicine Physician in New York